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1 病例报告 例1,男,49岁。咳嗽,咳少量白色粘液痰80d,伴胸闷,无发热,有咯血病史。ESR45mm/h,痰集菌6次抗酸杆菌阴性,痰涂片查霉菌3次阴性,冷凝集试验阴性,血常规正常。1991年1月9日胸片两肺中下大小不等结节状阴影、右下肺有片状融合,右侧膈肌相当于第9后肋高度。1991年2月12日纤维支气管镜查各管口粘膜充血,于右下叶管口刷检涂片4张送细胞学检查未查到癌细胞,复查胸片示两肺散在结节状阴影,与1991年1月9日胸片比较结节状阴影增大,两侧助膈角锐利。继之出现精神症状。1991年2月14日头颅CT提示双侧大脑半球多发性转移癌,来自于肺癌。
1 Case report Example 1, male, 49 years old. Cough, cough a small amount of white mucus 痰 80d, chest tightness, no fever, hemoptysis history. ESR45mm/h, Salmonella spp. were negative for acid-fast bacteria 6 times, sputum smears were found to be negative for 3 times, the condensation set test was negative, and the blood routine was normal. January 9, 1991 chest X-ray film of the lungs in the middle and lower size of the nodular shadow, the right lower lung flake fusion, the right diaphragm is equivalent to the 9th posterior rib height. February 12, 1991 fiberoptic bronchoscopy mucosal hyperemia in the mouth, in the right lower leaf mouth brush smear 4 sent cytology did not find cancer cells, review chest X-ray showed two scattered in the shadow of the nodules, Compared with the chest X-ray of January 9, 1991, the nodule shadows increased, and the horns on both sides were sharp. Followed by psychiatric symptoms. On February 14, 1991, CT scans revealed multiple metastatic hemispheres of the cerebral hemisphere from lung cancer.