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患者女,50岁,痰中带血3年,反复咯血1月入院,临床拟“左上肺病变,肺结核”予抗炎、抗痨治疗无效。病程中无明显发热,胸片示:左上肺叶近肺门处4cm×5cm×6cm病灶,密度不均,周边不完整。1993年11月8日在全麻下行左上肺叶切除术,术中见病灶位于左上肺前段,与前胸壁相连,病灶约4cm×4cm×4cm大小,与周围肺组织有明显
The patient female, 50 years old, had bloody sputum for 3 years. He was admitted to the hospital with repeated hemoptysis in January. The clinical diagnosis of “upper left lung disease, pulmonary tuberculosis” was invalid for anti-inflammatory and anti-spasm treatment. There was no significant fever during the course of the disease. The chest radiograph showed: 4cm × 5cm × 6cm lesions near the left upper lung lobe, uneven density, peripheral incomplete. On November 8, 1993, the left upper lobe resection was performed under general anesthesia. During the operation, the lesion was located in the anterior segment of the left upper lung and was connected to the anterior chest wall. The size of the lesion was about 4cm×4cm×4cm, which was obviously related to the surrounding lung tissue.