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本文分析肺癌诊断的失误和难点,1988～1991年在肺科住院的3456例患者中,有肺癌77例(2.2％),其中72例(93.5％)经细胞学和组织学检查确诊。中心性肺癌62例(80.5％), 外周性14例(18.2％),支气管肺泡癌1例(1.3％)。右侧肺癌40例,左侧37例。男性65例,女性12例。年龄40岁以下1例,41～50岁5例,51～60岁33例,61岁以上38例。住院前只5例(6.5％)诊断肺肿瘤,其余初诊为急性肺炎50例,慢性支气管炎17例,支气管哮喘和渗出性胸膜炎各2例,发热待查1例。
This article analyzes the errors and difficulties in the diagnosis of lung cancer. Of the 3456 patients hospitalized in the Department of Pulmonary Medicine from 1988 to 1991, there were 77 cases (2.2%) of lung cancer, of which 72 cases (93.5%) were diagnosed by cytology and histological examination. There were 62 cases of central lung cancer (80.5%), 14 cases of peripheral disease (18.2%), and 1 case of bronchoalveolar carcinoma (1.3%). There were 40 cases of lung cancer on the right side and 37 cases on the left side. There were 65 males and 12 females. There were 1 case under 40 years old, 5 cases 41 to 50 years old, 33 cases 51 to 60 years old, and 38 cases above 61 years old. Only 5 cases (6.5%) diagnosed lung tumors before hospitalization. The remaining newly diagnosed cases were acute pneumonia in 50 cases, chronic bronchitis in 17 cases, bronchial asthma and exudative pleurisy in 2 cases, and fever in 1 case.