患者黄×,女性,53岁,住院号,177379。因左下肺球形病灶15年而于1977年12月20日入院。患者于1962年因发热住本院内科,胸透发现左侧近肺门处有一直径约2厘米大小的球形阴影,当时按结核病治疗,用链霉索4个月余,并服用异烟肼半年,自觉症状好转。此后,仍不规则抗结核治疗。1975年胸透复查见原病灶增大。近月来因食欲减退,精神欠佳而来诊。发病来无盗汗、咳嗽、咳痰咯血史。既往曾有兰尾切除术史,其母死于食管癌。入院体检:体温36.5℃,脉搏70次/分,呼吸20次/分,血压120/80毫米汞柱。神清,发育正常,营养一般,右侧颈部可扪及花生米大淋巴结数枚,质偏硬,有一定的活动度。头颈无异常,胸廓无畸形,两侧呼 Patient Huang ×, female, 53 years old, hospital number, 177379. He was admitted to hospital on December 20, 1977 due to the 15th year of left-sided spherical lesions. The patient lived in the hospital in 1962 due to fever. The chest was found to have a spherical shape with a diameter of about 2 cm on the left side of the hilum. At that time, the patient was treated with tuberculosis and streptomycin for more than 4 months. He took isoniazid for half a year. , Symptoms improved. Since then, there has been irregular anti-tuberculosis treatment. In 1975, chest thorax reexamined the original lesion. In recent months, I have been diagnosed because of poor appetite and poor health. There was no history of night sweats, coughs, or coughing with hemoptysis. Previously there was a history of orchid tail resection and her mother died of esophageal cancer. Admission physical examination: body temperature 36.5 °C, pulse 70 beats / min, breathing 20 beats / min, blood pressure 120/80 mm Hg. Shen Qing, normal development, nutrition, the right side of the neck can be paralyzed and a large number of peanuts lymph nodes, quality is hard, there is a certain degree of activity. No abnormal head and neck, no abnormal chest, both sides call