患者,女性,45岁。因刺激性干咳伴痰中带血26天入院。慢性病容,右锁骨上可触及一似枣大小之淋巴结,质韧,无压痛,活动好,两肺散在干鸣音。X线检查:右上肺呈大片状密度增高阴影,水平裂上移,提示右上叶肺不张。拟诊:肺癌:支气管内膜结核。于入院第3天行右锁骨上淋巴结穿刺活检报告为慢性炎症,按支气管内膜结核给予抗痨 Patient, female, 45 years old. Due to irritating dry cough with sputum in the blood 26 days admission. Chronic disease, the right clavicle can reach a jujube-like size of the lymph nodes, quality and toughness, no tenderness, good activity, dry lung sounds scattered in both lungs. X-ray examination: a large patchy right upper lung showed increased shadow density, horizontal split upward, suggesting that the right upper lobe atelectasis. To be diagnosed: lung cancer: endobronchial tuberculosis. On the 3rd day of admission, the right supraclavicular lymph node biopsy was reported as chronic inflammation and bronchial intimal tuberculosis