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患者男性,54岁,农民,已婚。因咳嗽、胸背痛伴间歇性血丝痰2个月于1986年7月25日步行入院.患者于1986年5月开始出现干咳及胸背部持续性疼痛,尤以深吸气为著.数天后伴咯血丝痰,每日8～10次,量少.起病后经门诊治疗未见好转而住院治疗.体查:体温37℃,脉搏84次/分,呼吸22次/分,血压17.33/10.33kPa.左侧锁骨上淋巴结稍肿大.左胸廓较右侧为狭,呼吸运动减弱.左肺呼吸音减低,无罗音.X 线胸部平片:左上肺块状阴影,密度较高.临床诊断:中央型肺癌.
Male patient, 54 years old, farmer, married. Her cough, chest and back pain with intermittent bloody sputum were admitted to the hospital on foot on July 25, 1986. Patient developed persistent cough and chest and back pain in May 1986, especially for deep inspiration. Hemoptysis phlegm, 8 to 10 times a day, less .After the onset of treatment by the outpatient clinic did not improve and hospitalization. Physical examination: body temperature 37 ℃, pulse 84 beats / min, breathing 22 beats / min, blood pressure 17.33 / 10.33 kPa. Left supraclavicular lymph nodes slightly swollen. Left thoracic right than the narrow, respiratory movement decreased. Left lung breath sounds reduced, no rales. X-ray chest plain film: the upper left lung block shadow, high density. Diagnosis: Central lung cancer.