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患者,男,65岁,1989年9月底起感左胸疼痛、咳嗽、咳痰,痰中带血。胸透发现左肺块状阴影,于同年10月27日入院。既往有两上肺“陈旧性肺结核”史。嗜烟酒,每日吸烟20多支,已30余年。检查:T37.6℃,P76次/min,R20次/min,BP17.33/10,66kPa。神智清,营养中等,浅表淋巴结未扪及。胸廓对称,心肺(-),腹软,肝脾未扪及。Hb9g/L,WBC13×10~9/L,N80％,L18％, E2％。痰检未发现明确病理细胞。大小便例检均无异常。胸部X线:后前位片,左侧位片及断层片示左肺舌叶呈现约1.5×1.5cm和20×20cm
Patient, male, 65 years old, left chest pain, cough, expectoration, bloody sputum in the end of September 1989. Thoracotomy found the left lung block shadow, in the same year on October 27 admission. Past history of two lung “old tuberculosis”. Addicted to alcohol and tobacco, more than 20 cigarettes a day, more than 30 years. Check: T37.6 ℃, P76 times / min, R20 times / min, BP17.33/10,66kPa. God clear, moderate nutrition, superficial lymph nodes not palpable. Thorax symmetry, cardiopulmonary (-), abdominal soft, liver and spleen not palpable. Hb9g / L, WBC13 × 10 ~ 9 / L, N80%, L18%, E2%. Phlegm did not find a clear pathological cells. No cases of urine were detected. Chest X-ray: the anteroposterior film, the left lateral radiographs and slices show the left lung lobes showed about 1.5 × 1.5cm and 20 × 20cm