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患者男,41岁。3个月内无诱因咯血2次,100～300 ml,否认呼吸困难及喘息等,经止血等治疗后症状好转,于2005年11月8日收入院。既往否认呼吸系统疾病及高血压等病史,1998年10月曾行左侧腹股沟良性肿物切除术。体检:T 37.3℃,P 84次/min,R 20次/min,BP 162/102mm/Hg,全身浅表淋巴结未及肿大,气管居中,颈静脉无充盈,反复胸部查体未见异常。血、尿、便常规正常,出凝血时间、血生化等检查正常。心电图及超声检查未见异常。X 线胸部平片未见异常。胸部 CT 横断面扫描发现,气管后侧壁一肿物,部分位于管腔外并突入腔内,阻塞约2/3管腔。螺旋 CT 冠状位重建提示:于气管腔内隆突上方4.5 cm 处见一密度均匀、CT 值为38 HU 的肿物,边缘规则,有一宽蒂与气
Patient male, 41 years old. 3 months without predisposition to hemoptysis 2 times, 100 ~ 300 ml, denied dyspnea and wheezing, after hemostasis and other symptoms improved, on November 8, 2005 income hospital. Previously deny respiratory diseases and hypertension and other medical history, in October 1998 had left groin benign tumor resection. Physical examination: T 37.3 ℃, P 84 times / min, R 20 times / min, BP 162 / 102mm / Hg, systemic superficial lymph nodes did not enlarge, tracheal center, jugular vein without filling, repeated chest examination showed no abnormality. Blood, urine, they are routine normal, a clotting time, blood biochemistry and other tests were normal. ECG and ultrasound showed no abnormalities. X-ray no abnormal chest film. A CT scan of the chest revealed that a tumor in the posterior wall of the trachea, partially outside the lumen and protruding into the lumen, blocked about 2/3 of the lumen. Spiral CT reconstruction of the coronal tips: 4.5 cm at the top of the tracheal carina in a uniform density, CT value of 38 HU of the tumor, the edge of the rule, a wide pedicle and gas