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患者男性,55岁,半年前曾有咳嗽伴少量血丝痰一周,未经治疗而症状消失。近20余天,上述状又重复出现,并有胸痛,无发热及明显消瘦。经他院临床胸部摄片及支气管镜检查诊断为右下肺癌,遂转来本院手术治疗。患者有吸烟史30余年,每日一包。体检:右下肺呼吸音略低,无其他阳性体征。化验:血常规、AKP及肝功能等均正常。胸片:正位片示右下肺有两个互相重叠的马铃薯样块状阴影,约3×5cm大小,边缘尚光整;侧位片示肿块状阴影位于右肺下叶内基底段,右下肺淋巴结肿大。心外形和横膈无异常。诊断:右下肺周围型肺癌。于1983年6月行右中、下肺叶切除。
The patient was a 55-year-old man. He had had a cough with a small amount of bloodshot sputum for six weeks before the symptoms disappeared without treatment. In more than 20 days, the above symptoms reappeared with chest pain, no fever, and obvious weight loss. After clinical chest radiographs and bronchoscopy in his hospital diagnosed with right lower lung cancer, he was transferred to the hospital for surgical treatment. The patient has a history of smoking for more than 30 years, one pack per day. Physical examination: The lower right lung had slightly lower breath sounds and no other positive signs. Laboratory tests: Blood routine, AKP and liver function were normal. Chest X-ray: The right position shows two overlapping potato-like block shadows in the right lower lung, about 3 × 5 cm in size, and the margin is still smooth; the lateral view shows that the shadow of the mass is located in the basal segment of the right lower lobe, and the lower right Lung lymph nodes. There is no abnormality in the shape and appearance of the heart. Diagnosis: lung cancer around the right lower lung. In June 1983, right middle and lower lobes were removed.