肺栓塞误诊为肺癌1例分析
Journal of Taishan Medical College(2013)
Abstract
<正>病历资料:患者,男,72岁,主因咳嗽、咳痰伴胸闷1月余入院。既往心房纤维性颤动病史5年,平素服用阿司匹林等药物,否认其他特殊疾病史。查体:血压130/80mmHg,口唇无紫绀,颈静脉无怒张,双肺呼吸音粗,未闻及干湿性啰音;心浊音界无明显扩大,心律不齐,第一心音强弱不等,各瓣膜听诊区未闻及病理性杂音,无心包摩擦音,余(-)。辅助检查:心电图示心房纤维性颤动。胸部CT示右下肺占位(考虑肺癌可能性大)、右侧胸腔及斜裂积液;院外行肺穿刺
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