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肺炎性假瘤较为少见,临床和X线表现易与肺结核及肺癌相混淆。现报告2例例1陈×,男,26岁,战士,病案号:40889。因咳嗽,胸闷3年余,咳血痰2次,1980年2月8日第二次入院。缘于1977年1月8日曾拟诊“肺炎”入某医院。X线胸片示左肺下部片状阴影,经抗炎,抗痨治疗4个月无效。同年5月3日转入我院。照胸片见左肺下部有均匀的片状阴影,约1.0×2.4cm,与左心缘相接。右肺未见异常。诊为“肺结核”,抗痨治疗一年零五个月,病灶未见吸收。1978年11月5日出院,出院后继续服异葵肼一年,仍时有咳嗽、胸闷,痰中带血,故再次入院。查体无异常发现。脚片见右肺上部中外带出现直径2~3cm的圆形病灶8个,其中2个相连呈哑铃状。左肺下部之片状阴影与1977年5月胸片所见大致相同。支气管
Pneumothorax pseudotumor is relatively rare, clinical and X-ray findings easily confused with tuberculosis and lung cancer. Current Report 2 Example 1 Chen ×, male, 26 years old, soldier, medical record number: 40889. Due to cough, chest tightness more than 3 years, 2 times hemoptysis sputum, February 8, 1980 the second admission. Due to January 8, 1977 had been diagnosed “pneumonia” into a hospital. X-ray showed the lower left flank shadow, the anti-inflammatory, anti-tuberculosis treatment for 4 months is invalid. May 3 the same year into our hospital. According to the chest, see the lower left lung uniform flake shadow, about 1.0 × 2.4cm, and the left heart phase phase. No abnormalities in the right lung. Diagnosed as “tuberculosis”, anti-tuberculosis treatment of one year and five months, no lesions were absorbed. November 5, 1978 was discharged from the hospital to continue after serving a week Kwai hydrazine, still cough, chest tightness, bloody sputum, it was admitted again. No abnormal findings. Foot see the upper part of the upper right and left lung appear 2 ~ 3cm in diameter circular lesions 8, of which 2 were dumbbell-shaped. The shadow of the lower flanks of the left lung is roughly the same as that seen on the chest radiograph in May 1977. Bronchus