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患者男性,49岁。1985年11月无诱因出现咳嗽,少量白痰,间断带血丝,同时伴自右胸疼痛、气促,曾在外院摄片示右上肺不张,疑肺癌于1986年1月4日转来我科,既往有中量吸烟史。入院查体:高枕卧位,紫绀,未见杵状指,气管轻度右偏。右前胸壁可扪及二个花生米粒大小淋巴结。右上肺叩诊略变浊,呼吸音减弱,肺可闻散在干罗音。心率120次/分,律齐,朱闻杂音。肝脾未触及。实验室检查:血红蛋白11.6g/L,白细胞10.6×
The patient male is 49 years old. In November 1985, there was no incentive for coughing, a small amount of white diarrhea, intermittent bloodshots, accompanied by pain and shortness of breath from the right chest. He was photographed in an external hospital and showed right upper lung atelectasis. Suspected lung cancer was transferred to me on January 4, 1986. The department has a history of moderate smoking. Admission examination: high pillow position, purpura, no clubbing, mild right trachea. The right anterior chest wall can be accompanied by two peanut-sized lymph nodes. The paraplegia in the upper right lung is slightly turbid, the breath sounds are weakened, and the lungs can be scattered in the dry rales. Heart rate 120 beats / min, law Qi, Zhu Wen murmur. Liver and spleen are not touched. Laboratory examination: Hemoglobin 11.6g/L, WBC 10.6×