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患者,女,34岁。因“胸闷伴咳嗽咳痰10个月,胸痛8个月”入院。入院时患者表现为胸闷、咳嗽、咳痰、胸痛、呼吸困难、乏力,无其他不适。左肺呼吸音低,HR 124次/分。胸部CT检查提示左下肺巨大不规则团块影,边界不清,肺窗下显示高密度影,边缘毛躁,伴纵隔淋巴结肿大,增强CT检查显示肿块不规则强化,可见多个不规则低密度未强化区,边缘呈多分叶状,大小约139mm×89 mm×119 mm;纤支镜检查显示下肺支气管扭曲,分支受压、狭窄,外后基底段分支管腔闭塞,刷片未见异常。患者行左下肺叶切除+淋巴结清扫术,术中可
Patient, female, 34 years old. Because of “chest tightness with cough and sputum for 10 months, chest pain for 8 months ” admission. Patients showed chest tightness, cough, sputum, chest pain, difficulty breathing, weakness and no other discomfort on admission. Left lung breath sounds low, HR 124 beats / min. Chest CT examination showed that the left lower lung huge irregular mass shadow, the border is unclear, the lung window showed high density, edge frizz, with mediastinal lymph nodes, enhanced CT examination revealed irregular enhancement, showing a number of irregular low density Uncured area, the edge of the multi-lobular, the size of about 139mm × 89mm × 119mm; bronchoscopy showed lower lung bronchial twist, branch compression, stenosis, external basal branch lumens closed, brush no abnormalities . Patients underwent lower lobe resection + lymph node dissection, intraoperative can be