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患者女,52岁.因间断咳嗽、咳痰10余年,加重2个月,于1988年3月17日入院.发病以来无发热.咯血,无哮喘及腹痛腹泻,偶有指骨痛.15年前因子宫肌瘤行子宫切除术.家族史无特殊.查体:右肺中下部语颤增强,叩浊,呼吸音减弱.血、尿、便常规正常.X线检查于右前下纵隔见20cm×15cm的椭圆形阴影,密度均匀,边缘清楚.支气管镜检查见气管左移,隆突偏左.右主支气管变扁呈月芽状,管腔内无肿物.右中叶支气管开口狭小,分泌物较多.肺通气功能检查重度减退.
Female patient, 52 years old, admitted to hospital on March 17, 1988 due to intermittent cough, cough for more than 10 years, and heavier for 2 months. No fever since the onset. Hemoptysis, no asthma and abdominal pain, diarrhea, occasional phalangeal pain. 15 years ago Hysterectomy for uterine fibroids. No family history. Examination: Increased pallorization in the lower right lung, turbidity, weakened breath sounds. Blood, urine, regular routines. X-ray examination in the right anterior inferior mediastinum see 20cm × 15cm elliptical shadow, uniform density, clear edge. Bronchoscopy, see the left trachea shift, carinal to the left. The right main bronchus flattened with a bud-like, no tumor in the lumen. Right middle lobe bronchi opening narrow, secretions More. Pulmonary function tests were severely subsided.