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患者,女,31岁。主因咳嗽、咳痰、痰中带血丝4月余,加重伴右侧胸痛15天而入院。入院前4个月经常咳嗽,咳白色粘痰,3个月前咳痰较前加重伴血丝,以肺炎、支气管扩张于当地医院用青霉素治疗15天,未见好转,并伴右侧胸痛,胸部CT检查,诊断为右肺周围型肺癌转来我院。发病后无明显发热,平素体健。入院查体:T37℃,BP120/75mmHg(16/10kPa),R 24次/分,发育正常,全身浅表淋巴结无肿大,右下肺背部叩浊,语音传导正常,未闻及干湿性哕音。心脏、腹部检查无异常发现。辅助检查:WBC 11.9×10~9/L,N 0.84,L 0.16,Hb 125g/L,分别送痰
Patient, female, 31 years old. Mainly due to cough, sputum, bloody sputum more than 4 months, increased with right chest pain for 15 days and admitted to hospital. 4 months before admission cough, cough and white phlegm, sputum aggravating 3 months ago with bloodshot eyes, pneumonia, bronchiectasis in the local hospital for 15 days with penicillin, did not improve, accompanied by right chest pain, chest CT examination, diagnosis of lung cancer around the right lung transferred to our hospital. After the onset of no significant fever, usually physical health. Admission examination: T37 ℃, BP120 / 75mmHg (16 / 10kPa), R 24 beats / min, normal development, systemic superficial lymph nodes without swelling, the right lower lung back turbid voiced, voice conduction is normal, did not smell and wet哕 sound. Heart, abdominal examination found no abnormalities. Auxiliary examination: WBC 11.9 × 10 ~ 9 / L, N 0.84, L 0.16, Hb 125g / L, respectively, phlegm