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机构地区:[1]山西医科大学第一医院 [2]山西医科大学
出 处:《山西医药杂志》1997年第4期299-302,共4页Shanxi Medical Journal
摘 要:为使肺癌患者能够得到早期诊断和治疗,将1989年至1995年内科住院100例肺癌患者进行年龄、吸烟、临床表现、X线特征、诊断方法和治疗措施进行分析比较,X线检查特征发现肺癌高发年龄在40岁~70岁(占60%),10%的患者小于40岁,有趋于年轻化趋势,有62%患者有吸烟史,吸烟与肺癌发生有关,临床表现无特异性,全身表现多样化,多种诊断方法有利于提高肺癌确诊率纤支镜法57%,脱落细胞学(胸水、痰)22%,活组织检查(淋巴结、胸膜)17%,早期诊断困难,晚期肺癌应用以化疗或放疗为主的综合治疗,有利于提高患者的生存率和改变生活质量,全身化学治疗的总有效率56.7%,局部化学治疗的总有效率63.6%。To diagnose and treat the patient suffering from lung cancer as early as possible,100 cases of lung cancer were analysed in terms of age,smoking,clinical manifestation,fluoroscopical features,diagnostic method and treatment.The result:Most of the cases occurred at the age from 40 to 70 years amount to 60%,10% cases occurred at the age under 40 years.The age of onset tends to be younger;62% cases had smoke.Smoking is relative to the risk of lung cancer;the clinical manifestations of respiratory system were not particular;the whole body manifestation showed in various ways;diversiform diagnostic methods are of advantage to raise diagnostic rate,for example,diagnostic rate of fiber optic bronchoscopy is 57%,biopsy′s is 17%,and exfoliocytologic examination′s is 22%.It is difficult to make an early definite diagnosis.The effective rate of chemotherapy in whole body is 56.7%;that of chemotherapy in thoracic cavity is 63.6%.Chemotherapy is available for heightening survival rate and improving the living quality of patients with lung cancer.
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