经皮穿刺活检及同步微波消融治疗早期非小细胞肺癌伴弥漫性肺间质纤维化1例

Percutaneous biopsy and synchronously microwave ablation for treating early-stage non-small cell lung cancer complicated with diffuse pulmonary interstitial fibrosis:Case report

患者男,63岁,咳嗽、咳痰半年,伴胸闷,外院胸部CT提示左上肺恶性结节可能;既往吸烟史32年。查体:双肺呼吸音粗,肺底闻及Velcro啰音,双下肺叩诊呈轻浊音。肺功能检查:用力肺活量(forced vital capacity,FVC)50%,第1秒用力呼气容积(forced expiratory volume in one second,FEV 1)56%,最大自主通气量(maximal voluntary ventilation,MVV)60%;提示限制性通气功能障碍伴弥散功能障碍及肺顺应性降低。