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近十多年来 很多学者对小细胞肺癌的临床表现和治疗特别关注,改变了认为外科治疗无效的传统观念,为探索本病的早期诊断和治疗,我们收集146例小细胞肺癌,提出初步意见。小细胞肺癌的发病年龄较早,病程短,症状明显,除咳嗽、血丝痰及胸痛外,常合并发热、胸水和声嘶以及锁骨上淋巴结转移。病人吸烟指数超过400以上者,占本组吸烟病例76.2％;左肺上叶占48.5％,右肺上叶占44.7％,这与肺结核的发生部位相似,需小心鉴别。X线表现以肺门团块影为特征的占54.8％,以肺门增宽者占15.1％,余为肺内孤立圆形块影,但有一点值得注意,X线平片上常可出现阻塞性肺不张和阻塞性肺炎。因此,提出我们对小细胞肺癌的诊断程序。@刘广森$近十多年来!很多学者对小细胞肺癌的临床表现和治疗特别关注,改变了认为外科治疗无效的传统观念,为探索本病的早期诊断和治疗,我们收集146例小细胞肺癌,提出初步意见。小细胞肺癌的发病年龄较早,病程短,症状明显,除咳嗽、血丝痰及胸痛外,常合并发热、胸水和声嘶以及锁骨上淋巴结转移。病人吸烟指数超过400以上者,占本组吸烟病例76.2％;左肺上叶占48.5％,右肺上叶占44.7％,这与肺结核的发生部位相似,需小心鉴别。X线表现以肺门团块影为特征的占54.8％,以肺门增宽者占15.1％,余为肺内孤立圆形块影,但
Over the past decade, many scholars have paid special attention to the clinical manifestations and treatment of small cell lung cancer, and have changed the traditional concept that the surgical treatment is ineffective. To explore the early diagnosis and treatment of the disease, we collected 146 cases of small cell lung cancer and made preliminary observations. . The age of onset of small cell lung cancer is younger, the duration of the disease is shorter, and the symptoms are obvious. In addition to cough, blood stasis, and chest pain, fever, pleural effusion and hoarseness, and supraclavicular lymph node metastasis often occur. Patients with a smoking index of more than 400 or more accounted for 76.2% of smoking cases in this group; left upper lobe accounted for 48.5%, and right upper lobe accounted for 44.7%. This is similar to the occurrence of pulmonary tuberculosis, requiring careful identification. X-ray findings accounted for 54.8% of the hilar mass shadow, 15.1% for the hilar widening, and the remaining isolated block shadow in the lung, but it is worth noting that the X-ray film can often appear blocked Atelectasis and obstructive pneumonia. Therefore, we propose a diagnostic procedure for small cell lung cancer. @Liu Guangsen, who has been paying attention to the clinical manifestations and treatment of small cell lung cancer for more than a decade, has changed the traditional view that surgical treatment is ineffective. In order to explore the early diagnosis and treatment of this disease, we collected 146 cases of small cell lung cancer. , make preliminary comments. The age of onset of small cell lung cancer is younger, the duration of the disease is shorter, and the symptoms are obvious. In addition to cough, blood stasis, and chest pain, fever, pleural effusion and hoarseness, and supraclavicular lymph node metastasis often occur. Patients with a smoking index of more than 400 or more accounted for 76.2% of smoking cases in this group; left upper lobe accounted for 48.5%, and right upper lobe accounted for 44.7%. This is similar to the occurrence of pulmonary tuberculosis, requiring careful identification. X-ray findings accounted for 54.8% of the hilar mass shadow, 15.1% for hilar widening, and the remaining isolated shadow in the lung, but