1病历摘要男,42岁。活动后胸闷、憋气、气促1 a入院。查体:浅表淋巴结无肿大,气管左移,右胸部饱满,呼吸运动减弱,右肺叩实音,呼吸音消失。X线示右胸腔呈大片均匀高密度肿块影。CT扫描示右胸腔20 cm×24 cm巨大类圆形肿块影,边缘清楚,密度均匀,右肺被挤向胸顶,心脏移入左胸腔。2 1 medical record male, 42 years old. Chest tightness after activities, suffocation, shortness of breath 1 a admission. Physical examination: superficial lymph nodes without swelling, tracheal left, full right chest, respiratory motion weakened, right lung knock real sound, breath sounds disappear. X ray showed a large uniform chest mass was high-density mass shadow. CT scan showed a large round tumor mass of 20 cm × 24 cm in the right chest. The edge was clear and uniform in density. The right lung was pushed to the chest and the heart moved to the left chest. 2