实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2014年
10期
1288-1290
,共3页
慢性阻塞性肺疾病%肺癌%临床特征
慢性阻塞性肺疾病%肺癌%臨床特徵
만성조새성폐질병%폐암%림상특정
Chronic obstructive pulmonary disease ( COPD)%Lung cancer%Clinical feature
目的：探讨慢性阻塞性肺疾病（ COPD）合并肺癌的临床特征，总结其具有特征性的临床特点，为临床诊治状况提供合理建议。方法选择78例COPD合并肺癌患者与同时期的156例单纯性COPD患者。调查内容包括患者的临床症状、生活习惯、社会人口学资料、既往病史等。结果 COPD合并肺癌患者的既往支气管炎（21．8％）、肺结核病史率（10．3％）均高于单纯COPD患者（9．0％）、（2．6％）；COPD合并肺癌患者的咯血、呼吸困难、消瘦、胸痛、胸腔积液、肺不张、声音嘶哑均显著高于单纯COPD患者，差异有统计学意义（P＜0．05）；不同性别COPD合并肺癌患者的病理类型比较，差异无统计学意义（χ2＝0．298，P＝0．862）。结论 COPD合并肺癌多发于老年吸烟患者，以鳞癌比例最高，在患者出现咯血、胸痛、声音嘶哑、消瘦等临床表现或胸部影像检查发现肺不张和（或）胸腔积液时应及时就诊，早期诊断，早期治疗。
目的：探討慢性阻塞性肺疾病（ COPD）閤併肺癌的臨床特徵，總結其具有特徵性的臨床特點，為臨床診治狀況提供閤理建議。方法選擇78例COPD閤併肺癌患者與同時期的156例單純性COPD患者。調查內容包括患者的臨床癥狀、生活習慣、社會人口學資料、既往病史等。結果 COPD閤併肺癌患者的既往支氣管炎（21．8％）、肺結覈病史率（10．3％）均高于單純COPD患者（9．0％）、（2．6％）；COPD閤併肺癌患者的咯血、呼吸睏難、消瘦、胸痛、胸腔積液、肺不張、聲音嘶啞均顯著高于單純COPD患者，差異有統計學意義（P＜0．05）；不同性彆COPD閤併肺癌患者的病理類型比較，差異無統計學意義（χ2＝0．298，P＝0．862）。結論 COPD閤併肺癌多髮于老年吸煙患者，以鱗癌比例最高，在患者齣現咯血、胸痛、聲音嘶啞、消瘦等臨床錶現或胸部影像檢查髮現肺不張和（或）胸腔積液時應及時就診，早期診斷，早期治療。
목적：탐토만성조새성폐질병（ COPD）합병폐암적림상특정，총결기구유특정성적림상특점，위림상진치상황제공합리건의。방법선택78례COPD합병폐암환자여동시기적156례단순성COPD환자。조사내용포괄환자적림상증상、생활습관、사회인구학자료、기왕병사등。결과 COPD합병폐암환자적기왕지기관염（21．8％）、폐결핵병사솔（10．3％）균고우단순COPD환자（9．0％）、（2．6％）；COPD합병폐암환자적각혈、호흡곤난、소수、흉통、흉강적액、폐불장、성음시아균현저고우단순COPD환자，차이유통계학의의（P＜0．05）；불동성별COPD합병폐암환자적병리류형비교，차이무통계학의의（χ2＝0．298，P＝0．862）。결론 COPD합병폐암다발우노년흡연환자，이린암비례최고，재환자출현각혈、흉통、성음시아、소수등림상표현혹흉부영상검사발현폐불장화（혹）흉강적액시응급시취진，조기진단，조기치료。
Objective To study the clinical characteristics of chronic obstructive pulmonary disease ( COPD) complicat-ed with lung cancer ,and provide reasonable proposal for diagnosis and treatment .Methods 78 cases of COPD patients compli-cated with lung cancer and 156 COPD patients were selected.Clinical symptoms,living habits,social demographic data and previ-ous history were investigated.Results The previously bronchitis (21.8%),history of pulmonary tuberculosis rate (10.3%) in COPD patients complicated with lung cancer were higher than those of COPD (9.0%),(2.6%);The hemoptysis,dyspnea, weight loss,chest pain,pleural effusion,atelectasis,hoarseness in COPD patients complicated with lung cancer were significantly higher than those of COPD,the difference was statistically significant (P<0.05);The histological type of COPD patients compli-cated with lung cancer in different gender had no statistical difference (χ2 =0.298,P=0.862).Conclusion COPD complicat-ed with lung cancer mostly happens in elderly smokers ,the highest proportion of lung cancer is squamous cell carcinoma .Patients should receive early diagnosis and early treatment if hemoptysis ,chest pain,hoarseness,weight loss and other clinical manifesta-tions or chest radiographic examination revealed atelectasis and ( or) pleural effusion emerged .
