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球形急性肺炎易误诊为肺癌,我们自1976～1983年先后遇到6例,现报道如下. 一般资料男4例,女2例,年龄35～37岁.除1例体温正常外,另5例在37.8～38.7℃之间,6例均有非刺激性咳嗽,2例痰中带血、1例铁锈色痰,胸痛3例.血沉增快2例,白细胞增高6例,5例连续3次痰细胞学检查均未见肿瘤细胞.3例做纤支镜:1例正常、2例病变部位支气管粘膜充血、水肿。2例起病较缓慢,肺炎症状欠典型,4例急性发病。胸片所见6例均在症状出现2周内摄正、侧位胸片和2例断层片,病变均显示球形阴影.右叶4例、左叶2例,4例病变位于中下叶.病变直径
Spherical acute pneumonia is easily misdiagnosed as lung cancer, we have encountered 6 cases from 1976 to 1983, are reported as follows.General information of 4 males and 2 females, aged 35 to 37. In addition to 1 case of normal body temperature, the other 5 cases Between 37.8 and 38.7 ℃, 6 cases had non-irritating cough, 2 cases of bloody sputum, 1 case of rust sputum and chest pain in 3 cases, 2 cases of erythrocyte sedimentation rate, 6 cases of leukocytosis and 5 cases of continuous 3 times Sputum cytology showed no tumor cells.3 cases of bronchofibroscopy: 1 case of normal, 2 lesions of bronchial mucosa congestion, edema. Two cases of onset more slowly, less common symptoms of pneumonia, 4 cases of acute onset. Six cases of chest radiographs showed positive radiographs within 2 weeks after symptom onset, lateral chest radiographs and 2 cases of radiographs. The lesions showed spherical shadows. There were 4 cases of right lobe, 2 cases of left lobe and 4 cases of lobe in middle and lower lobe. Lesion diameter