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1.本文报告我院16年来收治的几种常见肿瘤,其中以胃癌最多,占第一位,肺癌占第二位。但从近6年观察,肺癌明显上升,深值得注意! 2.分析了胸内科近20年来收治的158例、其中中心型95例(60.1%),周围型55例34.8%),细支气管肺泡癌8例(5.06%)。从类型上看鳞癌稍多于未分化癌,腺癌少些;从部位上看中心型以未分化癌多,周围型以腺癌较多。 3.30岁以下的青年肺癌有12例,其中7例为未分化型。另外,表现内分泌紊乱者均为未分化的小细胞癌。本组内误诊为肺结核、肺炎、慢性支气管炎、感冒,风湿病等共89例(56.3%),因此做好早期诊断是防治肺癌重要的一环。35例做了手术,其中23例做了肺叶切除术,余因粘连或转移,只作了探查。在住院期间共有59例死亡,除1例存活8年以上外,余多在1年左右死亡。
1. This article reports several common tumors treated in our hospital in the past 16 years, of which gastric cancer is the largest, accounting for the first place, and lung cancer the second. However, from the observation in the past 6 years, lung cancer has risen significantly and it is worth noting! 2. Analysis of 158 cases of thoracic internal medicine in the past 20 years, including 95 cases (60.1%) of central type, 55 cases of peripheral type (34.8%), 8 cases of bronchioloalveolar carcinoma (5.06%). Squamous cell carcinoma is slightly more than undifferentiated carcinoma in type, and adenocarcinoma is less. From the site, the central type has many undifferentiated carcinomas and the peripheral type has more adenocarcinomas. 3. There are 12 young lung cancer patients under the age of 30, 7 of which are undifferentiated. In addition, those who exhibit endocrine disorders are undifferentiated small cell carcinomas. In this group, 89 cases (56.3%) were misdiagnosed as pulmonary tuberculosis, pneumonia, chronic bronchitis, cold, and rheumatism. Therefore, early diagnosis is an important part of prevention and treatment of lung cancer. Thirty-five patients underwent surgery. Of these, 23 underwent lobectomy, and the other was due to adhesion or metastasis. Only probing was performed. A total of 59 deaths occurred during hospitalization. Except one case survived for more than eight years, more than one patient died within one year.