论文部分内容阅读
患儿男,5岁。发热、咳嗽、胸痛3个月,呼吸困难1周,于1993年3月12日入院。既往健康,家族中无类同病史。体检:T37.4℃,P98次/分,R26次/分,除精神萎糜、体质消瘦、呼吸困难、口唇紫绀、右肺呼吸音低、双肺可闻及干湿性罗音外,无其它阳性体征发现。WBC16.2×10~9/L,N0.83,L0.17,RBC4.9×10~(12)/L,Hb 105g/L,BPC135×10~9/L;胸部X光片报告:右肺中心型占位病变,阻塞性肺炎。气管镜取活检,病理报告:低分化腺癌。患儿住院治疗7天,后因病家拒绝医治而自动出院。经随访,患儿于出院后不久死亡。
Children male, 5 years old. Fever, cough, chest pain for 3 months, 1 week of dyspnea, admitted March 12, 1993. Past health, no similar family history. Physical examination: T37.4 ℃, P98 beats / min, R26 beats / min, in addition to spiritual wilt, weight loss, difficulty breathing, cyanotic lips, right lung breath sounds low, Other positive signs found. WBC16.2 × 10-9 / L, N0.83, L0.17, RBC4.9 × 10-12 / L, Hb 105g / L, BPC135 × 10-9 / L; Central pulmonary lesions, obstructive pneumonia. Bronchoscopy biopsy, pathology report: poorly differentiated adenocarcinoma. Children hospitalized for 7 days, after the patient refused to cure and discharged automatically. After follow-up, the child died shortly after discharge.