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患者女性,45岁,咳嗽气喘3个月,活动后明显,进行性加重,偶有痰中带血,量不多。曾按气管炎、支气管哮喘治疗无效,于1990年7月5日入院。查体:一般情况可,有典型吸气性呼吸困难,表浅淋巴结无肿大;头颈无异常;两肺呼吸音粗糙,偶闻哮鸣音.于胸骨上窝处可闻及典型风箱气流样呼吸音;心率94次/分,心律规整无杂音。胸透及摄胸片未发现明显异常,高电压胸片于平胸锁关节处气管内见一3×2cm的软组织肿块影。纤维支气管镜检查:进镜20cm于气管左侧壁见菜花样肿物,广基无蒂,管腔明显狭窄,因
The female patient, 45 years old, had coughing and wheezing for 3 months. After the activity, it was obviously worsened progressively. Occasionally, there was blood in the sputum and the amount was not much. He had failed to treat bronchitis and bronchial asthma and was admitted to hospital on July 5, 1990. Physical examination: In general, there may be typical inspiratory dyspnea, no superficial lymph node enlargement, no abnormalities in the head and neck, respiratory sounds in the two lungs are rough, and wheeze is heard infrequently. Typical bellows can be heard in the upper sternal fossa Breath sounds; heart rate 94 beats/min, rhythm no noise. Chest and chest radiographs showed no significant abnormalities. High-voltage chest radiographs showed a 3×2 cm soft tissue mass in the trachea of the flat chest lock joint. Fiberoptic bronchoscopy: Into the left side of the trachea with a 20cm diameter into the cauliflower mass, wide pedicle sessile, narrow lumen, due to