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1 病例介绍 例1 男性,69岁,于1986年3月因低热,咳嗽,咯血丝痰3天入院。按上感治疗无效,胸部X线拍片检查提示右中叶肺炎,右上肺钙化灶,正规联合抗炎治疗1个月病情迁延不愈。复查胸片提示右中叶肺不张。CT检查仅示右肺门淋巴结肿大。纤支镜检查发现右肺中支气管开口处有一淡红色肿物,约2cm×3cm大小,距上叶支气管开口约1cm。活检病理类型为鳞癌。为求根治,拟行右全肺切除。但考虑病人年纪较大,恐术后发生肺功能不全,遂行右中下肺叶切除术。术中发现右中下肺静脉
1 Case Introduction Example 1 Male, 69 years old, admitted to hospital in March 1986 due to low fever, cough, and hemoptysis. According to the treatment on the invalid, chest X-ray film examination showed right middle lobe pneumonia, right upper-calcification calcification, regular anti-inflammatory treatment for one month, the condition is prolonged unhealed. Reexamination of the chest radiograph suggested a right middle lobe atelectasis. CT examination showed only right hilar lymphadenopathy. Fibrobronchoscopy revealed a pale red mass in the opening of the bronchus in the right lung, approximately 2 cm x 3 cm in size, and approximately 1 cm from the opening of the upper leaf bronchi. The pathological type of biopsy is squamous cell carcinoma. For radical treatment, we plan to perform right pneumonectomy. However, taking into account the older patients, postoperative lung insufficiency occurs, right middle and lower lobe resection. The right middle and lower pulmonary veins were found during surgery