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患者男，52岁。咳嗽、痰中带血1个月。1个月前因受凉后出现咳嗽、咳痰症状，痰为白色泡沫痰，量较少。剧烈咳嗽后出现痰中带血，在当地医院给予抗感染及对症治疗，但咳嗽症状改善不明显。查体：T36.6℃，P79次/分，R12/次分，BP140/85mmHg。肥胖体型，双侧锁骨上淋巴结不大，气管居中。左肺呼吸音正常，右上肺呼吸音稍低。根据患者情况，首先要做的检查是A、血气分析 B、胸部X线检查 C、肺功能 D、血生化及肝功能检查 E、胸部CT检查 F、纤维支气管镜检查 提示：检查发现右上肺不张、右肺门块影，左肺正常。根据检查结果，需要进行诊断和鉴别诊断的是A、肺脓肿 B、肺恶性肿瘤 C、肺良性肿瘤 D、肺结核瘤 E、肺炎性假瘤 F、肺囊肿 应重点进行的检查是A、血气分析 B、肺穿刺活检 C、肺功能 D、胸部CT检查 E、痰脱落细胞检查. F、纤维支气管镜检查 提示：检查结果：右上肺包块伴右上肺不张，纵隔淋巴结肿大，压迫肺动脉干及上腔静脉；右肺上叶支气管新生物，阻塞管腔，病变距隆突1.5cm。左侧支气管各段正常。活检病理检查：鳞状细胞癌。根据检查结果，正确的诊断是A、右上肺鳞状细胞癌伴纵隔淋巴结肿大 B、右上肺鳞状细胞癌伴纵隔淋巴结肿大、肺不张 C、右上肺鳞状细胞癌 D、右上肺鳞状细胞癌伴肺不张 E、右上肺鳞状细胞癌伴肺部感染 F、右上肺鳞状细胞癌伴压迫症 根据患者病情，外科治疗宜采取A、化疗 B、放疗 C、肺叶切除术 D、支气管袖状肺叶切除术 E、支气管袖状肺叶切除术+纵隔淋巴结清扫 F、放疗+化疗
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