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1病例报道例1,女,60岁。因双下肢水肿10 d入院。患者10天前因双下肢水肿在当地医院诊断为肾病综合征,胸部CT检查示右下肺结节,见胸膜牵拉征。入院体检:双肺呼吸音清,未闻及干、湿啰音,腹部移动性浊音(-),双下肢中度凹陷性水肿。尿蛋白(++++),尿蛋白定量4.5 g/d,血浆白蛋白17 g/L,血清总胆固醇(TC)6.70 mmol/L,甘油三酯(TG)3.56 mmol/L。患者于全身麻醉下行右下肺癌根治术。术后病理示(右下肺)中、低分化腺癌。患者术后7 d胸腔引流液
1 case report 1, female, 60 years old. Due to double lower extremity edema 10 d admission. Patients had nephrotic syndrome diagnosed at a local hospital 10 days earlier due to edema of both lower extremities, chest CT showed a right lower pulmonary nodule, see pleural traction sign. Admission examination: lung breath sounds clear, no smell and dry, wet rales, abdominal dullness (-), moderate depression in both lower extremity edema. Urinary protein (4.5+), proteinuria of urinary protein (4.5g / d), plasma albumin 17g / L, serum total cholesterol (TC) 6.70mmol / L and triglyceride (TG) 3.56mmol / L. Patients underwent lower right lung cancer radical surgery under general anesthesia. Postoperative pathology (lower right lung), poorly differentiated adenocarcinoma. Thoracic drainage was performed on patients 7 days after operation