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以肩背部疼痛为首发表现的原发性肺癌误诊一例

Medical Journal of National Defending Forces in North China(2010)

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Abstract
<正>1病例资料男,37岁。因肩背部疼痛进行性加重3个月到当地医院疼痛科就医,诊断为肩背部肌筋膜炎,行痛点阻滞、口服非甾体类抗炎镇痛药治疗,效果不佳。为进一步诊治入我院。查体发现左锁骨上浅表淋巴结,大小为2 cm×2 cm×2 cm,活动受限,无压痛,双肺呼吸音减弱,两下肺
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