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患者男性,37岁,因右侧胸痛半年经抗炎治疗不见好转,拍胸片发现右肺中叶病变而收入院。患者自述患病后无咳嗽、咳血痰及呼吸困难等症状。既往健康,否认结核及肿瘤病史。检查:一般状况好,平温平脉,浅表淋巴结无肿大,气管居中,胸对称,右肺中野呼吸音略粗。腹部及四肢无异常。化验白血球7.7×10~9/L,血红蛋白161g/L。X光胸正侧位及断层片,右肺中叶区见一约2.0×2.0cm~2的球形病灶,边缘光滑,密度均匀,无分叶及毛刺,肺门影不大。临床诊断:右肺中叶结核瘤。于1989年3月27日在全麻下行右肺中叶切
The patient was a 37-year-old man with a right chest pain that was not improved by anti-inflammatory therapy for half a year. He was found to have lesions in the right middle lobe of the chest radiograph and was admitted to the hospital. The patient reported no symptoms of cough, hemoptysis and dyspnea after illness. Past health, denied the history of tuberculosis and cancer. Examination: General condition is good, Ping Wen Ping veins, superficial lymph nodes are not swollen, trachea is centered, chest symmetry, right lung midfield breath sounds are slightly thicker. No abnormalities in the abdomen and limbs. Laboratory white blood cells 7.7 × 10 ~ 9 / L, hemoglobin 161g / L. X-ray thoracic lateral and tomographic slices, the right middle lobe area of the lung showed a spherical lesion of approximately 2.0 x 2.0 cm~2, with smooth edges, uniform density, no leaf lobes and burrs, and small hilar shadows. Clinical diagnosis: right middle lobe tuberculoma. On March 27, 1989, under the general anesthesia, right middle lobe cut