气管癌为临床少见,我院呼吸科自1997年2月至1999年8月经治3例,开始均误诊。 1 病例介绍 例1 女,26岁,于1997年2月28日因咳嗽、气喘4个月余,加重伴咯血2个月入院。4个月前受凉后出现刺激性咳嗽,咯少量白粘痰,气喘,曾在外院多次住院,均诊断支气管哮喘,予正规治疗4个月无效。于2个月出现痰中带血丝,偶有血痰,4～5口/日,多晨起出现。为明确诊断,来我院呼吸科。查体:体温36.5℃,脉搏110次/分,呼吸27次/分,血压110/80 mmHg。强迫端坐位,三凹征阳性,双肺呼吸音粗,满布哮鸣音。胸片:双肺野清晰。诊断:“支气管哮喘”, Tracheal cancer is rarely seen clinically. The Department of Respiratory Medicine of our hospital has been treated in three cases from February 1997 to August 1999. All of them began to misdiagnose. 1 Case Introduction Case 1 Female, 26 years old, was hospitalized on February 28, 1997 because of cough and asthma for more than 4 months. He was aggravated with hemoptysis for 2 months. After 4 months of cold, there was irritating cough, a small amount of white sticky phlegm, and asthma. He had been hospitalized for many times in the external hospital. He was diagnosed with bronchial asthma and was not treated for 4 months. In 2 months there was blood stains in the sputum, occasionally bloody, 4 to 5 mouths/day, appearing in the early morning. For a clear diagnosis, come to our department of respiratory medicine. Physical examination: body temperature 36.5°C, pulse rate 110 beats/minute, respiration 27 breaths/minute, blood pressure 110/80 mmHg. Forced sitting position, positive signs of three concave, breath sounds thick lungs, full of wheezes. Chest radiographs: Clear lung fields. Diagnosis: “bronchial asthma”,