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临床资料 1 一般资料 本组36例患者中,年龄最小38岁,最大69岁,平均54岁。男性29例,女性7例。经CT、MRI等检查全部为Ⅲ期中央型肺癌。支气管镜检病理诊断:鳞癌23例;腺癌10例;小细胞癌3例。 2 术前准备与治疗 除全身情况外,着重于心肺功能的检查和锻炼。①心功能:心电图及阶梯试验是临床上常用的简单易行的检查心功能的方法,只要心功能正常或心脏病患者能完全代偿者,可接受手术。②肺功能:由于临床上患者不能熟练地配合完成肺功能测定,故肺功能检测结果与患者实际肺功能耐受性不相符合的情况常有发生。我们将检测结果与其体力活动相结合,只要
Clinical data 1 General information The group of 36 patients, the youngest 38 years old, maximum 69 years old, average 54 years old. There were 29 males and 7 females. The CT, MRI and other tests were all stage III central lung cancer. Pathological diagnosis of bronchoscopy: 23 cases of squamous cell carcinoma; 10 cases of adenocarcinoma; 3 cases of small cell carcinoma. Preoperative preparation and treatment In addition to the general condition, focus on the examination and exercise of cardiopulmonary function. 1 Cardiac function: Electrocardiogram and ladder test are commonly used clinically simple and easy methods to check cardiac function. Patients with normal heart function or heart disease who can fully compensate can receive surgery. 2Pulmonary function: Because the patient can’t skillfully cooperate with the pulmonary function test in clinical practice, it is often the case that the pulmonary function test result does not coincide with the patient’s actual lung function tolerance. We combine test results with physical activity as long as