65岁，左肺上叶切除术后2小时，出现气短，大汗淋漓，咳白色泡沫痰，心率110次/分，双肺湿啰音，考虑诊断为(    )

试卷相关题目

• 1男，50岁，咳嗽3个月，痰中带血，胸片示右肺上叶不张，可能的诊断是(    )

  A.肺结核球

  B.肺炎性假瘤

  C.肺错构瘤

  D.支扩

  E.肺癌

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• 2男，60岁，咳嗽，痰中带血2个月来院，胸CT示左肺下叶占位，纤维支气管镜找到鳞癌细胞，下列哪项治疗是错误的(    )

  A.手术治疗

  B.手术+术后化疗

  C.手术+放疗

  D.单纯化疗

  E.以手术为主的综合治疗

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• 3为发现早期肺癌，对医生来讲最可靠的证据是(    )

  A.血痰

  B.胸痛

  C.无症状，胸片检查时发现

  D.气短

  E.发热

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• 4男，60岁，咳嗽，痰中带血2个月来诊，胸片示右肺上叶肺门处6cm×6cm肿块，形态不规则，边缘毛刺，为确定诊断，应(    )

  A.支气管镜检查

  B.胸腔镜检查

  C.痰细胞学检查

  D.剖胸探查

  E.抗生素治疗2周后复查胸片

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• 5一曾患结核15年的病人，近日胸片提示右肺上叶一肿块影像，于当地医院予抗结核治疗2周后复查胸片，见肿块影像略有缩小，则下列诊疗措施最合适的是(    )

  A.转到大医院复查胸CT

  B.回家口服抗结核药物，一年后复查

  C.住院正规抗结核治疗3个月后，回家口服抗结核药

  D.立即回家，不用任何治疗

  E.立即手术治疗

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• 6男，56岁，咳嗽胸闷气短2个月，胸片示右肺上叶占位，既往吸烟30年，肺结核病史20年，病人下一步治疗方案是(    )

  A.抗结核治疗3个月后复查

  B.行胸CT及支气管镜检查

  C.戒烟，注意休息

  D.抗炎治疗2周后复查胸片

  E.立即手术治疗

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• 7A 65-year-old male underwent total le£t lobectomy for central pulmonary carcino­ma in the left lung. The patients began to experience dyspnea， heavy sweating， and inter-mittent cough with pink foamy sputum 2 hours after the procedur His BP was 110/min. Wheezing sound and fine moist rale were heard in the right lung. The first diagnosis to consider is(    )

  A.Acute right cardiac failure

  B.Bronchopleural fistula

  C.Pulmonary obstruction

  D.Acute pulmonary edema

  E.Acute pneumonia

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• 8A male， age 9， was found with abnormal shadow in the chest by chest X-ray on school physical checkup. Anteroposterior and lateral film reveals a 4cm X 4cm shadow of even density in the back of the right chest. The patients recalled that the patient had coughed occasionally for nearly 1 month. The most likely diagnosis is(    )

  A.Bronchogenic carcinoma

  B.Pulmonary tuberculoma

  C.Mediastinal neurofibroma

  D.Teratoma

  E.Bronchial cyst

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• 9For early detection of lung cancer，the most reliable evidence is(    )

  A.Bloody sputum

  B.Chest pain

  C.Asymptomatic finding on chest X-ray

  D.Wheezing sound，panting

  E.Fever

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• 10上叶顶部肺癌(    )

  A.Pancoast肿瘤

  B.血性胸膜腔积液

  C.X线片上块状阴影密度不均匀，可有钙化点

  D.骨关节病综合征

  E.类似支气管肺炎的X线表现

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