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近50年来支气管肺癌(以下简称肺癌)发病率急剧增高,英、美等国增高更著,达28～40倍。我国上海调查近17年来肺癌发病率也增加了4.9倍。肺癌的临床表现常因病变发生部位及病期不同而异,早期可完全无症状,晚期则可出现各种症状,但并发自发性气胸尚少见。肺癌并发自发性气胸时,肺脏受压缩,肺内病灶常被掩盖。气胸可吸引临床医师的注意力,延误肺癌的诊断。现报道2例如下。
In the past 50 years, the incidence of bronchogenic carcinoma (hereinafter referred to as “lung cancer”) has risen sharply, with an increase of 28 to 40 times in Britain, the United States and other countries. Shanghai, China’s survey of lung cancer incidence in the past 17 years also increased by 4.9 times. The clinical manifestations of lung cancer often due to the site and stage of disease vary, the early can be completely asymptomatic, late may have a variety of symptoms, but concurrent spontaneous pneumothorax is still rare. Lung cancer complicated by spontaneous pneumothorax, the lungs are compressed, lung lesions are often covered. Pneumothorax can attract clinicians’ attention and delay the diagnosis of lung cancer. Now reported 2 cases as follows.