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例1:男,55岁。因咳嗽、喀脓痰、咯血6个月就诊。半年前突起畏寒、发热达39℃,开始稍有咳嗽,咯少量粘痰,约10天后痰量骤增至每天200ml左右,无明显臭味,间有小量咯血。胸片左下2.5×2cm空洞且有液平面,诊断为“肺脓肿”。曾用青霉毒及中药治疗,效果欠佳。吸烟已30余年,每天20～40支。余无特殊。查体除有肺气肿体征外,余无明显异常,无杵状指。纤维支气管镜检查见左基底干狭窄性改变,活检为鳞癌Ⅱ级。肺门断层示纵隔和肺门淋巴结广泛转移。
Example 1: Male, 55 years old. Due to cough, purulent sputum, hemoptysis 6 months treatment. Half a year ago chills, fever 39 ℃, began to cough slightly, slightly sticky phlegm, about 10 days after the sputum volume increased to about 200ml per day, no obvious odor, a small amount of hemoptysis. Lower left chest X-ray 2.5 × 2cm and a liquid level, diagnosed as “lung abscess.” Have used penicillin and traditional Chinese medicine treatment, the effect is not good. Smoking has been more than 30 years, 20 to 40 per day. I no special. Physical examination except for emphysema symptoms, I no obvious abnormalities, no clubbing refers. Fiberoptic bronchoscopy showed left basal stem stenosis changes, biopsy squamous cell carcinoma grade Ⅱ. Hilar tumors showed extensive mediastinal and hilar lymph node metastases.