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支气管肺癌合并气胸在临床上较少见。以气胸为首发症状者目前国内更少见报道。本文报告近年来所见以自发性气胸为首发症状的6例支气管肺癌,并结合有关文献略加讨论。临床资料本组男5例,女1例;年龄20～71岁。发生气胸的诱因;劳动时用力提重物2例,用力拉吊环1例,剧烈咳嗽3例。表现为单纯气胸3例,液气胸3例,胸痛6例,咳痰带血丝1例,气急呼吸困难4例,胸闷1例,消瘦1例。6例入院时诊断:4例为自发性气胸,2例为肺结核并发气胸。
Bronchial pneumonia with pneumothorax is less common in clinical practice. Pneumothorax as the first symptom is currently less frequently reported in China. This article reports 6 cases of bronchogenic carcinoma with spontaneous pneumothorax as the first symptom seen in recent years and a little discussion with relevant literature. Clinical data The group of 5 males and 1 female; aged 20 to 71 years. Pneumothorax occurred incentives; labor lifting heavy objects in 2 cases, forced pulling ring 1 case, severe cough in 3 cases. The performance of simple pneumothorax in 3 cases, 3 cases of liquid pneumothorax, 6 cases of chest pain, cough and bloodshot in 1 case, shortness of breath in 4 cases, 1 case of chest tightness, weight loss in 1 case. 6 cases were diagnosed at admission: 4 cases of spontaneous pneumothorax, 2 cases of pulmonary tuberculosis complicated with pneumothorax.