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冯某,男,53岁;咳嗽,痰血,右胸隐痛2月余。胸片示:右下肺野见8×10cm大小致密块影,边缘呈毛刺状。体检:双锁骨上,颈部淋巴结未及,心率80次,无病理性杂音,左肺呼吸音正常,右肺下部呼吸音减弱,肝脾未及。于1981年8月15日行右进胸右肺下叶切除术,术中见右肺下叶肿块10×10cm大小。术后病理诊断:右下肺低分化鳞状细胞癌一月后化疗,因血象持续低水平,先用BO方案:(即平阳霉素10mg,隔日一次,总量150mg。长春新碱1mg,每周二次,总量8mg)。连用二疗程出院。以后定期化疗,方案有CCO,COA等,组成药物有环巳亚硝脲,环磷酰胺,长春新碱,阿霉素,平阳霉素等。于1983年4月第4次入院,胸片发现左肺中部第4前肋有淡片状模糊阴影,同年12月胸片复查发现左中肺阴影较8
Feng Mou, male, 53 years old; cough, blood stasis, left chest pain for more than 2 months. The chest radiograph shows: The right lower lung field sees a compact block of 8×10 cm in size with a burr-like margin. Physical examination: double clavicle, no cervical lymph node, heart rate 80, no pathological murmur, left lung breath sounds normal, lower right lung lower respiratory sounds, liver and spleen is not. On August 15, 1981, he underwent right thoracic right lung hypoplasia, and the size of the right lower lobe mass was 10×10 cm. Postoperative pathological diagnosis: poorly differentiated squamous cell carcinoma of the lower right lung after one month of chemotherapy, due to persistent low levels of blood, first with the BO program: (Pingyangmycin 10mg, every other day, a total of 150mg. Vincristine 1mg, each Weekly, total 8mg). Use two courses for discharge. After the regular chemotherapy, the program has CCO, COA, etc. The composition of the drug are ringworm nitrosourea, cyclophosphamide, vincristine, doxorubicin, Pingyangmycin and so on. In the fourth admission in April 1983, the chest radiography revealed a pale patchy shadow on the 4th front rib of the left lung, and a chest radiograph in the same year showed that the shadow of the left middle lung was greater than 8 in the same year.