论文部分内容阅读
患者,女,32岁。1988年6月20日入院。3个月前诊为“卵巢浆液性囊腺癌”,肿瘤广泛腹腔转移。伴胸腔右侧胸痛,胸闷,逐渐加重。体检:气管偏左,右侧胸廓饱满,叩诊浊音,听诊呼吸音消失。X线胸片:右胸腔大量积液,经A超定位右肩胛线第8肋间行胸穿抽液,进针时阻力较大,有韧性感,抽出血性胸水1000ml。胸水中查到腺癌细胞,以后又多次以上述部位胸穿抽液。住院1月后于穿刺胸壁局部出现一包块,逐渐增大,2月后包块3×2×0.5cm~3大小,质
Patient, female, 32 years old. June 20, 1988 admission. 3 months ago diagnosed as “ovarian serous cystadenocarcinoma” extensive tumor peritoneal metastasis. Chest chest right chest pain, chest tightness, and gradually increased. Physical examination: trachea to the left, the right thorax full, percussion dullness, auscultation breath sounds disappear. X-ray: a large pleural effusion, the A positioning of the right shoulder blade line intercostal intercostal line chest fluid pumping into the needle resistance, toughness, pumping bloody pleural effusion 1000ml. Pleural effusion found in adenocarcinoma cells, and later many times to the above parts chest wear fluid. One month after hospitalization in the puncture of the chest wall of a local mass, gradually increased in February mass 3 × 2 × 0.5cm ~ 3 size