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患者,男,87岁。因咳嗽于1996年12月转科入院。 1984年曾因左上肺鳞癌行切除术,术后良好。但于1992年胸片复查见左下肺1.1×1.2cm密度增高影,考虑再发肺癌。因高龄、体质差,未行特殊治疗,肿块缓慢增大中。1996年10月因外伤性左股骨颈骨折入外科卧床治疗,同时间断咳嗽、咯痰、胸痛、低热和血象高,拟诊为院内肺部感染,抗生素治疗2个月无好转,转入呼吸科。患者还曾有胃大部切除及胆囊摘除术史。
Patient, male, 87 years old. He was admitted to the hospital due to cough in December 1996. In 1984, he had undergone a resection of the upper left lung squamous cell carcinoma. However, in the chest X-ray review in 1992, the left lower lung showed an increase in the density of 1.1 × 1.2cm, considering recurrence of lung cancer. Because of old age and poor physical condition, no special treatment was performed, and the mass slowly increased. In October 1996 due to traumatic left femoral neck fracture into surgical bed, while intermittent cough, expectoration, chest pain, low fever and high blood count, was diagnosed as nosocomial pulmonary infection, antibiotic treatment did not improve for 2 months, transferred to the Department of Respiratory . The patient also had a history of subtotal gastrectomy and gallbladder removal.