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病例1,男,51岁,会计.因间歇性右胸胀痛伴乏力、气促半年,胸部胀痛加重,间有咳嗽二十余天而于1983年8月27日入院,住院号270292.体查:右侧肋间隙饱满,右肺呼吸音降低,叩诊稍浊,多指杵状指,入院诊断为右下胸肿块,疑为肺癌、胸膜肿瘤.肺门及病灶体层照片提示肿块来自膈本身或膈下.气腹及胸腹正侧位片疑右下肺新生物.支气管纤维镜检未见肿块直接征象.B超示右侧第五前肋以下至肝顶部可见一最大前
Case 1, male, 51 years old, accountant. Accompanied by intermittent right chest pain with fatigue, shortness of breath six months, increased chest pain, cough for more than twenty days and was admitted on August 27, 1983, hospital number 270292. Physical examination: The right intercostal space is full, the right lung breath sounds are reduced, and the percussion is slightly turbid, referring to the clubbing, hospital diagnosis is the right lower chest mass, suspected lung cancer, pleural tumor. Hump and lesion body layer photos suggest that the tumor comes from Pneumoperitoneum itself or underarm. Pneumoperitoneum and thoracoabdominal anteroposterior view suspected right lower lung neoplasm. Bronchial fiber microscopy showed no direct sign of the mass. B ultrasound showed right below the fifth anterior rib below to the top of the liver to see a maximum before