论文部分内容阅读
患者,男性,34岁。因痰中带血,左颌下淋巴结肿大2个月入院。体检:T37.5℃。全身皮肤无异常。左颌下淋巴结孤立性肿大。气管居中,甲状腺无肿大。左下肺野呼吸音减弱,叩浊。腹平软,肝脾未触及,肠鸣音正常。化验室检查无异常。B超腹部(一)。X线片:左肺下叶后基底段肿物直径8cm,印象周围型肺癌。入院后,先行左颌下淋巴结活检,病理诊断转移性癌。开胸探查,见左
Patient, male, 34 years old. Due to bloody sputum, the left submandibular lymph nodes were swollen for 2 months. Physical examination: T37.5°C. Body skin without abnormalities. Left submandibular lymph nodes are solitary. Trachea centered, no thyroid enlargement. The breath sounds in the left lower lung field weakened and turbid. The abdomen is soft, the liver and spleen are not touched, and the bowel sounds are normal. There is no abnormality in laboratory tests. B-abdomen (1). X-ray: The posterior lobe of the left lower lobe has a tumor of 8 cm in diameter, and it has peripheral lung cancer. After admission, a biopsy of the left submandibular lymph node was performed first to diagnose metastatic cancer. Open-chest exploration, see left