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病例资料 两例均为中年女性。病例1病史为咳嗽、咳脓痰18个月,反复咳血6个月。体检右侧胸部呼吸音减弱,胸片见整个右肺血管影减少,右肺野透光度增高,气管轻度右移,右侧肺门阴影较为饱满。呼气相右肺呼气障碍,纵隔轻度向左侧移位,肺灌注扫描见右肺无灌注现象。支气管镜检查显示右主支气管肿瘤,组织学检查为类癌形腺癌。手术见右肺明显充气不足,肿瘤位于右主支管腔内,将支气管几乎完全堵塞。行支气管袖状切除,肿瘤直径15毫米,侵及支气管全层。术后肺扫描
Case Information Both cases were middle-aged women. Case 1 had a history of cough, sputum, purulent sputum for 18 months and repeated hemoptysis for 6 months. On the physical examination, the respiratory sound on the right side of the chest weakened. The chest radiograph showed a decrease in the vascularity of the entire right lung, increased light transmission in the right lung field, slight rightward shift of the trachea, and a fuller shadow of the right hilum. The expiratory breath in the right lung of the expiratory phase was slightly displaced to the left side of the mediastinum, and the pulmonary perfusion scan showed no perfusion in the right lung. Bronchoscopy showed a right main bronchial tumor and histological examination was a carcinoid adenocarcinoma. During the operation, the right lung was obviously under-inflated. The tumor was located in the right main branch and almost completely blocked the bronchus. Bronchial sleeve resection, tumor diameter 15 mm, invading the entire bronchial layer. Postoperative lung scan