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14例晚期肺炎型肺癌分析
引用本文:饶会林,彭文娟,方浩徽. 14例晚期肺炎型肺癌分析[J]. 临床肺科杂志, 2013, 18(9): 1630-1631
作者姓名:饶会林  彭文娟  方浩徽
作者单位:饶会林(合肥,安徽省胸科医院呼吸科,安徽,230022);彭文娟(合肥,安徽省胸科医院呼吸科,安徽,230022);方浩徽(合肥,安徽省胸科医院呼吸科,安徽,230022);
摘    要:目的探讨肺炎型肺癌临床特征。方法分析14例晚期肺炎型肺癌临床表现、影像学特点、诊断及治疗过程。结果肺炎型肺癌临床表现为咳嗽、咳痰、发热、胸闷;胸部CT表现为大片状模糊阴影;抗感染治疗效果差;血象不高,伴有大量白色粘痰;EGFR-TKI显著延长晚期肺炎型肺癌生存时间。结论肺炎型肺癌极易误诊为肺炎,临床医生对本病认识不足是误诊的主要原因。

关 键 词:肺癌  肺炎  误诊

Analysis of Fourteen Terminal Lung Cancer Characteristic of Pneumonia
RAO Hui-lin,PENG Wen-juan,FANG Hao-hui. Analysis of Fourteen Terminal Lung Cancer Characteristic of Pneumonia[J]. Journal of Clinical Pulmonary Medicine, 2013, 18(9): 1630-1631
Authors:RAO Hui-lin  PENG Wen-juan  FANG Hao-hui
Affiliation:(Department of Respirtory Medicine, Anhui Provincial Chest Hospital,Hefei 230022, China)
Abstract:Objective To probe into clinical characteristics of Pneumonia styled lung cancer. Approaches To review and ana- lyze the clinical manisfestation, the imaging characteristics, the process of diagnosis and treatment of the fourteen cases of pneumonia styled lung cancer. Results Clinical manifestation of pneumonia styled lung cancer goes like: expectoration, feversih, and suffocated ; thoracic CT showing big blurred shadow, anti-infection treatment failing, low blood sample, massive white expectoration;EGFR-TKI signif- icantly extending the survival time of terminal pneumonia styled lung cancer. Conclusion It is extremely possible to diagnose pneumonia styled lung cancer as pneumonia, and clinician's insufficient knowledge of this disease forms the main reason of the wrong diagnosis.
Keywords:lung cancer  pneumonia  wrong diagnosis
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