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患者女,28岁 3个月患右肺肺炎3次,均经抗炎治疗而愈。今因发烧、咯血3天,于1987年3月5日入院。查体:T38℃,R19次/分。BP13.3/9.33kPa。浅在淋巴结不大,右肺有少量湿性罗音,心脏无异常,肝脾未触及。实验室检查:白细胞15.0×10~9/L,血沉20mm/h,肝功能正常。X线胸片示右肺中叶不张。给予抗炎治疗2周,症状消失,但肺不张仍存在,乃行纤维支气管镜检查并活检,报告为鳞状上皮癌,1987年5月4日行右肺肿物切除术。病理报告:右中肺支气管类癌。
The female patient, 28 years old and 3 months suffering from right lung pneumonia 3 times, were all cured by anti-inflammatory treatment. Because of fever and hemoptysis for 3 days, he was admitted to hospital on March 5, 1987. Physical examination: T38°C, R19 beats/min. BP13.3/9.33kPa. Shallow in the lymph nodes, a small amount of wet rales in the right lung, no abnormal heart, liver and spleen is not touched. Laboratory examination: WBC 15.0 × 10 ~ 9 / L, ESR 20mm / h, normal liver function. X-ray shows right middle lobe atelectasis. After 2 weeks of anti-inflammatory treatment, the symptoms disappeared, but atelectasis was still present. A bronchoscopy was performed and a biopsy was performed. Squamous cell carcinoma was reported. On May 4, 1987, right lung mass resection was performed. Pathology report: right middle lung bronchial carcinoid.