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病例介绍患者男性,50岁。咳嗽、咳痰、气短2年余,行纤支镜检查,发现右下叶基底段口被白色坏死物阻塞,病理报告为鳞癌,1989年12月21日入院。入院后查血型为“A”型,肺功能检查示限制型通气功能障碍,不宜手术,给予~(60)Co放疗,DT6660 cGy。为巩固疗效,于1990年4月22日行化疗,给予COP方案(CTX、VCR、DDP)三个周期,疗效达CR出院。出院后三个月,病人再度咳嗽、咳痰、气短加重,CT检查提示:中心型肺癌并纵隔淋巴结肿大,少量心包积液,右侧胸腔积液,于1990年9月19日再次入院。实验室检查:血红蛋白122g/L,白细胞8×
Case presentation Male patient, 50 years old. Cough, sputum, shortness of breath for more than 2 years, fiber bronchoscopy, found that the basement of the right lower lobe was blocked by white necrosis, pathological reports of squamous cell carcinoma, was admitted on December 21, 1989. After admission, the blood type was “A” type, and pulmonary function tests showed restricted ventilation dysfunction. It was not suitable for surgery. 60Co radiation was given, and DT6660 cGy. In order to consolidate the curative effect, chemotherapy was performed on April 22, 1990. Three cycles of COP (CTX, VCR, and DDP) were administered and the curative effect reached CR. Three months after discharge, the patient re-coughed, coughed, and aggravated shortness of breath. CT examinations revealed central lung cancer with enlarged mediastinal lymph nodes, a small amount of pericardial effusion, and right pleural effusion. She was admitted to the hospital on September 19, 1990. Laboratory examination: Hemoglobin 122g/L, WBC 8×