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【病例】患者,女,69岁。因近3个月来无明显诱因出现胸闷,活动后较明显,伴胸痛以吸气时明显,无咳嗽、咳痰、咯血和呼吸困难等,未予重视及诊治。后出现阵发性刺激性干咳,入院就诊,CT检查示:1右肺中叶肺门区占位并阻塞性肺不张、肺炎,考虑为中心型肺癌,建议纤支镜检;2纵隔多发淋巴结肿大,左侧腋窝淋巴结肿大;3右侧胸膜腔大量积液并右肺下叶受压萎缩不张。气管镜取材示:(右肺下
[Case] patients, female, 69 years old. Due to the past three months there was no obvious incentive to appear chest tightness, more obvious after activity, with chest pain to inspiratory obvious, no cough, sputum, hemoptysis and breathing difficulties, etc., not attention and diagnosis and treatment. After the emergence of paroxysmal irritating dry cough, admitted to hospital for treatment, CT examination showed: 1 hilar region of the right middle lung and obstructive atelectasis, pneumonia, consider central lung cancer, it is recommended bronchoscopy; 2 mediastinal lymph nodes Swollen, left axillary lymph nodes; right pleural cavity a large number of effusion and right atrium lower lobe atrophy atrophy. Bronchoscopy taken: (right lung