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我科自1975年3月至1983年3月共收治肺癌835例,其中23例由于癌瘤侵蚀近旁大血管突然清破引起暴发性大量鲜红或暗红血液从口、鼻涌出,来势凶猛惊人。患者均于10余分钟以至数分钟内迅速死亡。 23例全部为中心型。右侧13例:总支气管1例,上叶支气管6例,中间支气管2例,上叶后段支气管口3例,下叶后基底段支气管口1例。左侧10例;总支气管2例,上叶支气管4例,下叶支气管1例,下叶前内基底段支气管口2例,下叶背段支气管口1例。18例由纤维支气管镜定位,2例手术标本定位,3例X线体层摄影定位。20例有病理组织学诊断,全部为鳞癌,余3例痰细胞学形态亦符合鳞癌。
In our department, 835 cases of lung cancer were treated from March 1975 to March 1983. Among them, 23 cases of sudden lung cancer caused by the erosion of the adjacent large blood vessels caused by fulminant bursts of bright red or dark red blood flowed from the mouth and nose. . The patients died rapidly in more than 10 minutes and even minutes. All 23 cases were centered. In the right side, there were 13 cases: total bronchus 1 case, upper lobe bronchus 6 cases, intermediate bronchus 2 cases, upper lobe bronchial ostium 3 cases, lower lobe basal sulcus 1 case. In the left side, there were 10 cases; total bronchus was 2 cases, upper lobe bronchus was 4 cases, lower lobe bronchus was 1 case, lower anterolateral basal sulcus was 2 cases, and lower lobe bronchial ostium was 1 case. Eighteen cases were located by fiberoptic bronchoscopes, 2 were surgical specimens, and 3 were located by X-ray tomography. Twenty patients had pathological histological diagnosis, all were squamous cell carcinomas, and the remaining 3 cases of sputum cytology were also consistent with squamous cell carcinoma.