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患者,男,40岁.于1987年3月16日查体时发现左下肺直径约3cm球形阴影(图1).经抗痨治疗2个月,左下肺阴影明显缩小,密度变淡.1990年2月5日,因咳痰,痰中带血、胸痛,再次来院就诊.X线片见原左下肺阴影明显增大,直径约7cm.建议手术治疗,患者拒绝,继续抗痨治疗.5月4日复查X线片,左下肺阴影再次缩小至5.5cm.7月15日以后多次复查X线片见左下肺阴影又呈进行性增大.9月17日左下肺阴影增大至直径约10cm～11cm大小,形态从球形变成分叶状(图2、3).在本次抗痨期间,痰中
Patient, male, 40 years old. On examination on March 16, 1987, the left lower lung was found to have a spherical shape with a diameter of about 3 cm (Fig. 1). After 2 months of anticonvulsant therapy, the shadow of the left lower lung was significantly reduced and the density became lighter. 1990 On February 5th, due to cough, bloody sputum and chest pain, he came to the hospital again. The X-ray film showed a significant increase in the shadow of the left lower lung, with a diameter of about 7cm. It is recommended that surgical treatment be performed. The patient refuses to continue treatment for spasticity. May. The X-ray film was reviewed on the 4th day and the left lower lung shadow was reduced to 5.5 cm again. After July 15th, the X-ray films were reviewed repeatedly and the left lower lung shadow was progressively increased. On September 17th, the left lower lung shadow increased to about a diameter. 10cm to 11cm in size, the shape changes from spherical to leaflike (Fig. 2, 3). During this resistance period,