病历摘要臧×,住院号C181799,女,30岁,农民,妊_3产_2,于1980年5月10日入院。主诉葡萄胎刮宫后两年余,咳嗽、痰中带血、胸痛已半年。现病史患者于1978年2月因葡萄胎先后刮宫两次,术后随诊尿妊娠试验阴性。1978年9月再次妊娠,于1979年6月足月顺产,出血不多,恶露10余天净。产后一直哺乳,月经未复潮。产后3个月放宫内节育环,放环后有不规则阴道出血,保守治疗无效,2个半月后取环,经刮宫后重新放环,刮出物未送病理检查,半月后又有不规则阴道出血,取环后月经正常。1979年12月开始咳嗽,痰中带血及胸痛,症状逐渐加重,在当地医院胸透发现左上肺有鸡蛋大小的球形阴影,诊断为肺结核,行抗痨治疗,病情日见加重。1980年2月转北京市肿瘤研究所,胸部X线摄片示左上肺有8×9厘 Medical records Zang ×, hospital number C181799, female, 30 years old, farmers, pregnancy _3 production _2, on May 10, 1980 admission. More than two years after the curette curettage mole, cough, bloody sputum, chest pain has been six months. Patients with current history of February 1978 due to hydatidiformgia curettage twice, followed up urine pregnancy test was negative. September 1978 pregnancy again, in June 1979 full-term delivery, bleeding is small, more than 10 days of lochia net. Have been breast-feeding after childbirth, menstruation is not resurfacing. 3 months postpartum release intrauterine contraceptive ring, put the ring after irregular vaginal bleeding, conservative treatment is invalid, after 2 and a half months to take the ring, after the curettage re-release ring, scraped the material was not sent for pathological examination, there are half a month later Rule vaginal bleeding, menstrual ring after normal. December 1979 began to cough, bloody sputum and chest pain, the symptoms gradually increased in the local hospital chest X-ray findings of the size of the left upper lobe of the spherical shadow, diagnosed as tuberculosis, anti-tuberculosis treatment, the condition worsened. February 1980 to Beijing Institute of Oncology, chest X-ray showed the left upper lung 8 × 9%