论文部分内容阅读
患者男性,52岁。主诉不明原因咯血1周,胸片发现左下肺球形阴影,以肺部肿瘤收治,既往史(一)。体格检查无异常发现。胸片示包块位于左下肺野,似有一蒂与纵隔相连,球形,边缘清楚,密度均匀,约8.7×8.5×7.3cm,纵隔阴影未增宽,左下肺有粟粒状阴影(图1)。手术发现:肿瘤自心包后缘向斜裂突出,境界分明,下界与膈肌相连,后外界压迫左下肺叶。瘤体硬,表面凹凸不平,切开表面的胸膜后,容易分离,出血量少,完整摘除瘤体。
The patient is male, 52 years old. The chief complained of unexplained causes of hemoptysis for 1 week. The chest radiograph revealed a spherical shadow of the left lower lung and was treated with a lung tumor. Past history (1). Physical examination found no abnormalities. The chest radiograph showed that the mass was located in the left lower lung field. It appeared to have a pedicle connected with the mediastinum, and was spherical and well-defined. The density was uniform, about 8.7 x 8.5 x 7.3 cm. The mediastinal shadow was not widened, and the left lower lung had miliary shadows (Figure 1). The surgical findings revealed that the tumor protruded obliquely from the posterior border of the pericardium, the realm was distinct, the lower border was connected with the diaphragm, and the left lower lobe was pressed by the outside world. Hard tumor, uneven surface, cut the surface of the pleura, easy to separate, less bleeding, complete removal of the tumor.