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年过花甲的李大伯,自觉身体挺硬朗,不喝酒,仅有抽旱烟的嗜好。前不久,李大伯突起左下肢增粗,且进行性加剧,肿得皮肤发亮,卧床不起。经当地医院抗炎止痛治疗无效转来我院。经彩色B超检查,诊断为左髂股静脉血栓形成。医生让李大伯再去放射科拍胸片。“下肢增粗,干吗要摄胸片?”李大伯及其儿子疑惑不解。2小时后胸片报告为:左肺门淋巴结阴影增大,胸腔积液。做胸部CT和胸水找癌细胞,证实为中央型肺癌,伴纵膈淋巴结转移。
Li Dabo, who had been in the Liberation Army, felt that his body was quite tough, he did not drink alcohol, and he only had smoking habits. Not long ago, Li Dabo raised the left lower extremity thickening, and progressively increased, swollen shiny skin, bedridden. The hospital was transferred to our hospital due to the ineffectiveness of anti-inflammatory and analgesic treatment. After a color B-ultrasound examination, a left iliac femoral vein thrombosis was diagnosed. The doctor asked Li Dabo to go to the radiology department to take a chest radio. “The lower limbs are thicker, why do you want to take a chest radio?” Li Dabo and his son were puzzled. After 2 hours, the chest radiograph was reported as: left hilar lymph node shadow increased, pleural effusion. Do chest CT and pleural effusion to find cancer cells, confirmed as central lung cancer, with mediastinal lymph node metastasis.