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例1,男,43岁,因咳嗽、咳痰、喘憋半月入院。查体双肺可闻及湿性罗音和散在的哮鸣音。胸片:心肺未见异常。诊断喘息性支气管炎。给吸氧、静滴头孢哌酮、喘定等治疗无效,10天后出现明显的吸气性呼吸困难。纤支镜检查发现气管上段外压性狭窄。CT见胸廓入口处气管右后方有9×5.5×4cm实质性肿块,气管受压向左前移位并狭窄。手术证实为食管鳞癌,与周围组织广泛粘连。
Example 1, male, 43 years old, admitted to hospital because of cough, sputum, and asthma. Both lungs and wet wheezes and scattered wheezes can be heard in both lungs. Chest radiograph: no abnormalities in heart and lung. Diagnosis of asthmatic bronchitis. Treatments such as oxygen inhalation, intravenous infusion of cefoperazone, and asthma were ineffective. After 10 days, significant inspiratory dyspnea occurred. Fibrobronchoscopy revealed that the upper section of the trachea was narrow in external pressure. CT showed a solid mass of 9 × 5.5 × 4 cm behind the right side of the trachea at the entrance of the thorax. The trachea was compressed and shifted to the left and narrowed. The operation was confirmed as esophageal squamous cell carcinoma with extensive adhesion to surrounding tissues.