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慢性下呼吸道良性疾患,如慢性支气管炎(以下简称慢支)、肺气肿、肺结核、矽肺,对人群的危害很大,已为人们所熟知,但它们也能演变为对人们健康威胁更为严重的肺癌,这一点还未引起人们的重视,且易出现误诊.我院自1991～1996年间经手术治疗和化疗者50例,现加以综合分析.1 临床资料1.1 性别、年龄及病程 本组患者男45例,女5例;年龄25～80岁;病程3～40年.1.2 既往病史 慢支16例,慢支合并阻塞性肺气肿16例,肺结核22例,矽肺6例,肺结核同时患有矽肺2例.1.3 确诊依据 痰脱落细胞阳性3例,胸水脱落细胞阳性4例,纤支镜活检,病理证实为肺癌34例.
Chronic lower respiratory benign diseases, such as chronic bronchitis (hereinafter referred to as chronic bronchitis), emphysema, tuberculosis, and silicosis, are very harmful to the population and are well known to people, but they can also evolve into a threat to people’s health. Serious lung cancer has not attracted people’s attention, and it is prone to misdiagnosis. There were 50 cases of surgical treatment and chemotherapy in our hospital from 1991 to 1996. We now have a comprehensive analysis. 1 Clinical data 1.1 Gender, age and disease course Patients 45 males and 5 females; aged 25 to 80 years; duration 3 to 40 years. 1.2 history of chronic bronchitis in 16 cases, chronic bronchitis with obstructive emphysema in 16 cases, 22 cases of pulmonary tuberculosis, 6 cases of silicosis, tuberculosis Suffering from 2 cases of silicosis, 1.3 diagnoses were based on 3 cases of sputum cell-positive, 4 cases of pleural effusion cells were positive, and fibrobronchoscopy biopsy. Pathologically confirmed 34 cases of lung cancer.