论文部分内容阅读
患者女,55岁。4年前在外院行右肺下叶肿瘤切除,术后病理提示恶性神经鞘瘤。1个月前感胸闷、气短,胸背部疼痛,进食哽噎,无咳嗽、咳痰。体检:右胸壁见斜行手术瘢痕,愈合良好;右肺呼吸音略减低,未闻及干湿啰音,无胸膜摩擦音。上消化道钡餐透视:食管下段受压左移,并见弧形压迹,相应管腔狭窄,管壁黏膜光滑、连续。支气管镜检
Female patient, 55 years old. 4 years ago in the lower right outer lobe tumor resection, postoperative pathology prompted malignant schwannoma. 1 month ago feeling chest tightness, shortness of breath, chest and back pain, eating 哽 噎, no cough, sputum. Physical examination: see the right chest wall oblique surgery scar, healed well; right lung breath sounds slightly reduced, no smell and wet and dry rales, no pleural fricative. Upper gastrointestinal barium meal perspective: lower esophageal pressure left shift, and see the arc indentation, the corresponding lumen stenosis, mucosal smooth, continuous. Bronchoscopy