患者男,77岁。因“间断咳嗽、咳痰、痰中带血2月余加重6 d”于2013年3月8日入院。查体:神志清楚,浅表淋巴结未触及肿大,口唇无紫绀,双肺呼吸音粗,未闻及干湿性啰音,心率64次/min,律齐;腹软,无压痛,肝、脾未触及,双下肢无水肿。胸部CT示:1考虑右肺上叶肺癌伴右上肺膨胀不全、阻塞性炎症及纵隔多发淋巴结增大,建议支气管镜进一步检查;2两肺少许慢性炎性变;3所见层面肝门区及 Male patient, 77 years old. Due to “intermittent cough, sputum, bloody sputum sputum more than 6 d ” March 8, 2013 admission. Physical examination: conscious, superficial lymph nodes did not touch swollen, lips without cyanosis, lung breath sounds crude, unheard and wet and dry rales, heart rate 64 beats / min, Law Qi; abdominal soft, no tenderness, Spleen not touched, no lower extremity edema. Chest CT showed: 1 consider the right upper lung cancer with right upper lung dysplasia, obstructive inflammation and lymph node enlargement of the mediastinum, bronchoscopy is recommended for further examination; 2 a little chronic inflammation of both lungs; 3 see the level of portal area and