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肺癌所致的神经系统并发症,以脑与脊柱及直接侵犯臂丛为最常见,可作为肺癌的首发症状而误诊为神经系统疾病。我院自1972年6月至1982年12月,经手术病理、痰细胞学及临床确诊为肺癌者106例。肺癌的临床诊断标准按徐昌文氏《肺癌》所定的3项指标符合任一项作为临床诊断标准。106例肺癌有神经系统症状者26例,占24.5%。现分析如下。
Neurological complications caused by lung cancer are most common in the brain and spine and directly invade the brachial plexuses. They can be misdiagnosed as neurological diseases as the first symptoms of lung cancer. In our hospital from June 1972 to December 1982, 106 cases were diagnosed with lung cancer by surgical pathology, sputum cytology, and clinical diagnosis. The clinical diagnostic criteria of lung cancer are in accordance with Xu Changwen’s “lung cancer” three criteria that meet any of the criteria for clinical diagnosis. Among 106 patients with lung cancer, 26 had neurological symptoms, accounting for 24.5%. The analysis is as follows.