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肺癌是常见的恶性肿瘤,近20年来发病率明显增高,但肺癌的治疗效果还不能令人满意,要提高治疗效果关键在于早期诊断。一、从一些病例中吸取的教训,认识早期诊断的重要性【例1】刘××,女,49岁,医生。1976年2月团体检查胸透时发现右上肺有一如花生米大的阴影,并有乏力、咳嗽等症状,诊断为“肺结核”,未予治疗。1977年8月胸片复查见右上肺阴影增大,开始抗痨治疗。1978年6月复查,右上肺阴影又增大1倍,并咯血痰,遂入院。7月26日作开胸手术,经冰冻切片证实为腺癌,并有支气管淋巴结转移,于是作右上肺叶切除,术后辅助其他治疗。【例2】张××,男,49岁,医生,吸烟20年。1978年2月因咳嗽、血痰、胸痛等症状,按“上感”治疗,但不断
Lung cancer is a common malignant tumor. The incidence has increased significantly in the past 20 years. However, the therapeutic effect of lung cancer is not yet satisfactory. The key to improving the therapeutic effect lies in early diagnosis. First, the lessons learned from some cases, to understand the importance of early diagnosis [Example 1] Liu × ×, female, 49 years old, doctor. When the group examined the chest in February 1976, the right upper lung was found to have a large shadow like peanuts, and there were symptoms of fatigue, cough, etc. The diagnosis was “tuberculosis” and no treatment was given. In August 1977, a review of the chest radiograph showed an increase in the shadow of the right upper lung and began anti-tuberculosis treatment. In June 1978, the shadow of the right upper lungs was doubled again. He was admitted to the hospital. On July 26, he underwent thoracotomy. His frozen section proved to be adenocarcinoma and bronchial lymph node metastasis. He then performed right upper lobar resection and he was assisted in other treatments. [Example 2] Zhang X, male, 49 years old, doctor, smoked for 20 years. In February 1978, due to cough, blood stasis, chest pain and other symptoms, according to the “sense” treatment, but constantly