胸外科大题(Department of thoracic surgery).docVIP

胸外科大题(Department of thoracic surgery).doc

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胸外科大题(Department of thoracic surgery)

胸外科大题(Department of thoracic surgery) Department of thoracic surgery Title.Txt if betrayal is a kind of courage, then acceptance of betrayal requires more courage. Love is a block, marriage is a mountain. Bricks are not many, there is a piece of spirit; the mountain is not high, Shou Shou on the line. esophageal cancer 1.. What changes can be seen in the double contrast radiography of thin barium meal in early stage esophageal carcinoma? (1) esophageal mucosa folds disorder, thickening or interruption (2) small filling defect (3) localized wall stiffness and peristalsis interrupted (4) small niche A 2.50 year old man with dysphagia for three months was diagnosed with a mid esophageal carcinoma for nearly a week The symptoms of coughing when swallowing water or food. Which surgical procedure should be excluded from the above symptoms in order to select a regimen? Contraindications? What kind of inspection? Esophageal tracheoesophageal fistula should be excluded Check: (1) radiography of esophagus swallow barium, or (2) fiber esophagus mirror and fiber bronchoscope A 3.54 year old man complained of dysphagia and loss of bone for one month. Could he be diagnosed with esophageal cancer? To make the diagnosis clear What items of inspection are required? Esophageal cancer is not diagnosed Need to be checked: (1) barium swallow X-ray radiography of esophagus (2) esophageal exfoliated cells were examined (3) fiber endoscopy 4.68 year old patients with upper thoracic esophageal carcinoma complained of hoarseness and severe cough when they were eating water. The Hornor s syndrome was observed in the body OK, please explain how the above clinical manifestation is produced? (1) cancer invasion laryngeal nerve, can appear hoarse voice (2) the tumor can suppress the cervical sympathetic ganglion and produce Hornor s syndrome (3) the tumor invades the trachea and forms a fistula of esophagus and trachea empyema 1. male patients, 5 years old, fever, cough, shortness of breath in 1

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