Diaphragm skin paralysis that lung cancer causes displays _'s clinical symptom

Diaphragm skin paralysis that lung cancer causes displays _'s clinical symptom
1,Case materials
Female, 56 years old. Because cough, expectoration, breathing hard to diagnose as upper airway infection in the other institute, resist inflammation, think, breathe hard, obvious when the location in order to lie particularly still after the treatment to the ill, take a photograph of the intersection of X-ray and the intersection of chest and slice, show right side thorax accumulate liquid, in order to further diagnose the our academy clearly. Check chest slice shows in the X-ray: Lamination of one pair of lungs is clear, the right lung door shadow is relatively dense, diaphragm skin is raised among about 2 ribs on the right side, dual side rib diaphragm angles are sharp. The thorax Ultrasonography B shows: Right side the intersection of diaphragm and the intersection of skin and the intersection of activity and degree disappear, rapid to appear the intersection of diaphragm and the intersection of contradiction and sport while breathing, have not found the thorax accumulates the liquid, has considered diaphragm skin has been paralysed on the right side. Walk the intersection of chest and CT check, find right the intersection of lung and door increase, mediastinal lymph node big, can see one shadow by the right the intersection of lung and lower the intersection of leaf and the intersection of heart and reason, diaphragm skin is obviously raised on the right side. Consider lung cancer causes diaphragm skin paralysis. Walk fibrous the intersection of bronchus and mirror check, see right the intersection of lung and poor leaf open one's mouth place rise under the mucous membrane,
2,Discussion
The skin of diaphragm is paralysed in the department and anesthetized, risen the movement obstacle by the diaphragm skin of blockade and one side or both sides produced because of diaphragm nerve damaging, nerve impulse, clinic is comparatively rare. Diaphragm skin paralyse cause of disease to be very extensive, a common one the intersection of lung and metastasis of cancer oppress or corrode the nerve of diaphragm, cause to mediastinal lymph node most. Long-term diaphragm skin paralysis can make diaphragm amyotrophy form a layer of membrane, diaphragm skin is paralysed the vital capacity and can be lowered by 37% on one side, the keeping in touch with amount is lowered by 20%, but because the lung compensates the function very strong, the patient often has no symptom, it is slightly obvious to breathe hard only while lying in the location. The intersection of chest and slice and CT check and thorax Ultrasonography B check according to the intersection of example and symptom, X-ray this, diaphragm skin paralysis is diagnosed clearly on the right side, the reason is the lung gland cancer lymph node shifted. , will seldom generally consider diaphragm skin paralysis. The X-ray chest can find the diagnosis main point that the contradictory sports of skin of diaphragm are a disease to perspect. B It is significant to distinguishing and accumulating the liquid to exceed checking for the thorax. Through the course of making a diagnosis and giving treatment of this example, remind the masses of clinicians, must form the good habit of thought, or unusually find to clinical symptom that think about why more, increase the knowledge of some rare ill, rare diseases, misdiagnose and manage by mistake in order to reduce.
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