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1临床资料患者为男性,49岁,因“右肺上叶中分化鳞状细胞癌术后近15个月”于2013年10月28日入院。患者于1.5年前无明显诱因出现咳嗽、咯痰,痰中带血,量少,色鲜红,偶有胸闷、无发热、胸痛等不适。随后行胸部CT检查提示:恶性肿瘤可能性大。查腹部B超、骨扫描、头颅CT、颈部+锁骨上淋巴结超声未见转移。于2012年8月1日在全麻下行胸腔镜辅助下右侧开胸探查,右肺上叶切除,纵隔淋巴结清扫术。术后病理学诊断为右肺上叶中分化鳞癌。患者既往无药物及食物过敏史,无慢性病及传染病史。查体生命体征平稳。患者步入病房,意识清楚,对答切题,脊柱及四肢无畸形、红肿、压痛和活动障碍,肌力Ⅴ级,肌张力无增强或减弱。血常规及血生化检查均无异常。
1 Clinical data Patients were male, 49 years old, due to “right upper lobe differentiation squamous cell carcinoma in nearly 15 months after surgery” was admitted on October 28, 2013. Patients with no obvious incentive 1.5 years ago cough, expectoration, bloody sputum, less, bright red, occasional chest tightness, no fever, chest pain and other discomfort. Followed by chest CT examination Tip: The possibility of malignant tumors. Check the abdomen B-ultrasound, bone scan, CT skull, neck + supraclavicular lymph node ultrasound did not transfer. On August 1, 2012 under thoracoscopic assisted thoracoscopic right thoracotomy exploration, right lung lobectomy, mediastinal lymph node dissection. Postoperative pathological diagnosis of right upper lobe differentiation squamous cell carcinoma. Past history of patients with no drug and food allergies, chronic diseases and no history of infectious diseases. Physical examination signs stable. Patients into the ward, a clear awareness of the answer questions, no deformity of the spine and limbs, swelling, tenderness and movement disorders, muscle strength grade Ⅴ, no increase or decrease in muscle tone. Blood and blood biochemical tests were normal.