薄壁空洞性肺癌5例报告

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近年来空洞性肺癌常可见到,多被描述为偏心、厚壁,内壁凹凸不平,外缘仍可见脐样切迹,多有液平,至于薄壁空洞象肺大泡或囊肿那样则极少见,今报告5例于下:例1:男性,63岁。因咳嗽、咳黄痰2月余,胸片发现左肺门一3cm×4cm薄壁空洞,诊断为“肺脓肿”入院,经抗生素治疗症状无好转,一月后仍在住院期间发生咯血,经胸片复查左肺门空洞如前,并出现同侧胸膜炎,经穿刺抽出黄色渗出液,又疑为“肺结核”并胸膜炎,改抗结核治疗,半个月后血痰消失,带抗结核药物回家治疗。二个月后因左肩部疼痛、头痛、声音嘶哑,阵发性呛咳而再入院。 In recent years, chronic lung cancer is often seen, mostly described as eccentric, thick-walled, uneven walls, umbilical-like notches are still visible at the outer edges, and many are fluid. As for the thin-walled holes, there are very few such as bullae or cysts. See, 5 cases are reported below: Case 1: Male, 63 years old. More than two months after coughing and coughing, chest X-ray revealed a 3cm x 4cm hole in the left hilum. The diagnosis of “lung abscess” was admitted to the hospital. Symptoms of antibiotic treatment did not improve. Hemoptysis still occurred during hospitalization after January. Chest X-ray review of the left lung as before, and the occurrence of ipsilateral pleurisy, puncture out of yellow exudate, but also suspected of “tuberculosis” and pleurisy, change anti-TB treatment, half a month after the disappearance of blood stasis, with anti-TB drugs back Home treatment. Two months later, she was admitted to the hospital because of pain, headache, hoarseness in her left shoulder, paroxysmal coughing.
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