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肺非典型性孤立性纤维性肿瘤伴肺性骨病一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1001-0939.2014.06.019
- Key Word:
- No keyword available
Abstract： 患者女,66岁,因“双下肢水肿1个多月,加重伴双下肢关节疼痛、呼吸困难、咳嗽咳痰20余天”入院.1个月前患者无明显诱因出现双下肢水肿,伴纳差、上腹胀痛,无恶心、呕吐、反酸,遂于当地镇医院就诊,诊断为“慢性浅表性胃炎”,给予镇痛、保护胃黏膜等对症治疗,患者自觉症状无明显缓解.20余天前患者双下肢水肿较前加重,并伴有双下肢关节疼痛、呼吸困难、咳嗽、咳白色黏痰,呈拉丝状,不易咳出,无咯血、胸痛、胸闷,无发热及盗汗等,为求进一步诊治于我院急诊科就诊,胸部CT示右肺下叶基底段见混杂密度肿块影,约9.4 cm×7.9 cm大小,前中纵隔软组织密度结节影(图1,2).血常规:白细胞为11.54×109/L,中性粒细胞比例为0.79,凝血常规及生化指标未见明显异常,给予对症治疗,患者咳嗽、咳痰、呼吸困难及双下肢水肿较前缓解.
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