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肺曲菌病(pulmonary aspergillosis)为一少见病,其临床症状,体征及X线表现无特异性,故诊断较困难,极易误诊为其它呼吸系统疾病。肺曲菌病继发于青年肺癌者更为少见。我院所见2例患者在院外长期误诊,住我院后经纤维支气管镜检查,活检病理诊断为肺癌并发肺曲菌病。例1 郭××,男,30岁,工人,住院号168208,于1982年11月发热(体温39℃),咳嗽,咳痰10天后咳血。胸片显示肺中叶团块状密度增高阴影,右侧位胸片可见右肺中
Pulmonary aspergillosis is a rare disease whose clinical symptoms, signs and X-ray manifestations are not specific, so it is more difficult to diagnose and is easily misdiagnosed as other respiratory diseases. Pulmonary aspergillosis secondary to lung cancer are more rare. My hospital seen 2 patients in the hospital long-term misdiagnosis, live in our hospital after bronchoscopy, biopsy pathology diagnosed as lung cancer with pulmonary aspergillosis. Example 1 Guo × ×, male, 30 years old, worker, hospital number 168208, fever in November 1982 (temperature 39 ℃), cough, sputum after 10 days of hemoptysis. Chest radiograph showed lumps of clumps in the lung with increased density, and the right chest radiograph showed right lung