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作者对102例经支气管镜活检确诊为支气管“类癌”的患者作了临床、X线和支气管镜检查结果的分析。102例中5例系经常规X线体检发现;97例因有症状就医,其第一症状出现至支检确诊相隔日期平均为6年半。该97例之初发症状:表现为呼吸系感染症状的43例、呼吸系感染症状伴咯血的6例、单咯血31例、咳嗽伴有或不伴有一般咳痰8例,胸痛3例、渗出性胸膜炎3例、自发性气胸致气急1例,全身不适2例。 X线表现以密度均一、形态规则之肺、叶、段收缩阴影为最多见,共72例;其次为肺内圆形阴影9例;肺内密度不均一阴影4例;肺、叶、段透亮度增高4例;密度不均一、形态规则之肺、叶、段收缩阴影3例;肺门区不均一阴影3例,余7例肺内未见异常阴影。阴影部位以形态规则之肺、叶、段收缩阴影75例分析:右侧(48例)多于左侧(27例);右肺以
The authors analyzed clinical, X-ray, and bronchoscopic findings in 102 patients diagnosed with bronchial “carcinoid” by bronchoscopic biopsy. Among 102 cases, 5 cases were found by routine X-ray physical examination; 97 cases were treated with symptomatic symptoms, and the average interval between the first symptom and the diagnosis was 6 and a half years. The initial symptoms of the 97 cases were manifestations of respiratory symptoms, 43 cases of respiratory infections, 6 cases of hemoptysis, 31 cases of single hemoptysis, 8 cases of cough with or without general cough, and 3 cases of chest pain. There were 3 cases of exudative pleurisy, 1 case of spontaneous pneumothorax causing impatience, and 2 cases of general malaise. The X-ray findings were the most common with uniform density and regular shape of the lung, leaf, and segmental contraction shadows, a total of 72 cases; followed by 9 cases of circular shadows in the lung; 4 cases of inhomogeneous lung shadow; lung, leaf, segmental Intensity increased in 4 cases; inhomogeneous density, regular pattern of lung, leaf, segmental contraction shadow in 3 cases; hilar area inhomogeneous shadow in 3 cases, and the remaining 7 cases had no abnormal shadow in the lung. The shadows were shadowed by morphological rules of the lungs, leaves, and segments. Analysis of 75 cases: right side (48 cases) more than left side (27 cases); right lung with