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一位年近七旬的女士,因咳嗽、盗汗、咯血,经某医院胸片诊断为肺结核,给予异烟肼、利福平、乙胺丁醇三联治疗半年,不仅未见好转,且出现顽固性胸痛,咳嗽频繁,痰中带血明显增加,进行性呼吸困难,右侧胸腔积液,疑为肺癌转来我院,经胸片、CT发现左上肺结核,右上叶前段肺不张,肺门阴影增大,右胸腔积液。支纤镜检查:右支气管肿块,病理报告为腺癌。遂诊断为肺结核合并肺癌。医师因本病能迅速得到确诊而感到欣慰,但也有几分遗憾,患者已错失手术治疗的良机,留给她的时间已屈指可数。
A woman nearly seventy years, due to cough, night sweats, hemoptysis, chest X-ray diagnosis by a hospital for tuberculosis, given isoniazid, rifampicin, ethambutol triple therapy for six months, not only did not improve, and stubborn Chest pain, frequent cough, bloody sputum was significantly increased, progressive dyspnea, right pleural effusion, suspected of lung cancer transferred to our hospital, the chest X-ray, CT found in the upper left pulmonary tuberculosis, right anterior lobe atelectasis, hilar Shadows increase, right pleural effusion. Fiberoptic bronchoscopy: the right bronchial mass, pathological report of adenocarcinoma. Then diagnosed as pulmonary tuberculosis with lung cancer. The physician was relieved to have the disease diagnosed promptly, but with some regret, patients had missed a good chance of surgery, leaving her with a handful of time.