论文部分内容阅读
患者男,22岁,战士,于1980年4月普查发现“左上肺野内带有一分叶状块影,双肺散在数个直径1 cm大小的圆形阴影,疑纵隔肿瘤肺部转移于1980年4月16日入院。体查:一般情况好。浅表淋巴结无肿大。双乳房轻度增大。左胸1～3肋间锁骨中线内叩诊浊音,余未见异常。入院后给COP(环磷酰胺、长春新硷、强的松)化疗,病情逐日恶化、气短、胸痛、不能平卧呈恶病质状。胸片复查,左上纵隔与肺部病灶迅速增大。6月初行青蛙实验阳性。尿妊娠胶乳凝集试
The patient male, 22 years old, was a soldier. In the April 1980 census, he discovered that "the left upper lung field contained a lobular mass, the two lungs scattered in several circular shadows of 1 cm in diameter, and the suspected mediastinal tumor was metastasized to the lungs in 1980. She was admitted to the hospital on April 16. Physical examination: The general condition was good. Superficial lymph nodes were not swollen. Double breasts increased slightly. Left chest 1 to 3 intercostal clavicle was diagnosed with dullness in the midline, but no abnormality was seen. After admission to the COP ( Cyclophosphamide, vinorelbine, prednisone chemotherapy, the condition deteriorated day by day, shortness of breath, chest pain, can not be paralyzed with cachexia. Review of the chest radiograph, the left upper mediastinum and lung lesions rapidly increased. In early June, the frog test was positive. Urinary pregnancy latex agglutination test