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患者,女,28岁,农民。发烧咳嗽咯痰一个月,胸痛头昏一周于1980年2月21日入院。各项化验检查均在正常范围,痰查结核菌阴性,痰查瘤细胞阴性,血沉:28mm/第一小时,胸片:右肺上叶前段呈肺段性不张,肺门淋巴结肿大明显(图1、2),断层见前段支气管阻塞(图3)。临床诊断:肺炎、肺癌待排除。经用青、链、红、庆大霉素、四环素、新型青霉素、TMP等。后加用异菸肼、利福平等抗痨药物,治疗达两个月,体温仍稽留在38.5℃左右,胸片复查病变有进展,考虑肺癌转入胸外科拟行开胸探查。两次经皮肤18号针穿刺肺活
Patient, female, 28 years old, farmer. A fever cough expectoration for a month, chest pain dizzy week in February 21, 1980 admission. Various laboratory tests were in the normal range, sputum check tuberculosis negative sputum tumor cells were negative, erythrocyte sedimentation rate: 28mm / first hour, chest radiograph: the anterior segment of the right upper lobe pulmonary segment atelectasis, hilar lymph node enlargement significantly (Figure 1,2), the anterior bronchial obstruction (Figure 3). Clinical diagnosis: pneumonia, lung cancer to be excluded. The green, chain, red, gentamicin, tetracycline, new penicillin, TMP and so on. After the addition of isoniazid, rifampicin anti-tuberculosis drugs, treatment up to two months, the body temperature still remain at about 38.5 ℃, chest X-ray examination of lesions progress, consider lung cancer into thoracic surgery to do thoracotomy exploration. Twice through the skin on the 18th needle puncture lung live