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慢性阻塞性肺病(COPD)在我国是一种常见病,其发病率约4000/10万,随着肺癌发病率逐年上升,COPD合并肺癌并不少见。1989年10月～1998年10月,我院以手术为主综合治疗肺癌768例,其中COPD合并肺癌32例,占4.2％。现结合文献及临床资料将我们的诊治体会报告如下。 1 资料与方法 1.1 一般资料:本组男26例,女6例;年龄58～74岁,平均65.6岁。COPD的诊断均符合1997年中华医学会呼吸病分会哮喘学组制订的“慢性阻塞性肺气肿疾病诊治规范”。病程6～10年27例,大于10年5例。肺癌病理类型:鳞癌22例,腺癌8
Chronic obstructive pulmonary disease (COPD) is a common disease in our country, its incidence is about 4000 / 100,000, with the incidence of lung cancer increased year by year, COPD with lung cancer is not uncommon. From October 1989 to October 1998, 768 cases of lung cancer were treated by surgery mainly in our hospital, including 32 cases of COPD with lung cancer (4.2%). Now combined with the literature and clinical information will be our diagnosis and treatment report is as follows. 1 Materials and Methods 1.1 General Information: The group of 26 males and 6 females; aged 58 to 74 years, mean 65.6 years. The diagnosis of COPD are in line with the “Diagnosis and Treatment of Chronic Obstructive Disease of the Lung” developed by the Asthma Section of the Respiratory Branch of the Chinese Medical Association in 1997. Course of 6 to 10 years in 27 cases, more than 10 years in 5 cases. Pathological types of lung cancer: squamous cell carcinoma in 22 cases, adenocarcinoma 8