肺癌最新版

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1、美国癌症死亡率(1992-1996)Riesetal1999Riesetal1999死亡率100,000人/每年80-70-60-50-40-30-20-10-0■胰腺癌肺癌前列腺癌乳腺癌卵巢癌Riesetal1999美国肺癌发病率和死亡率Riesetal1999(1973-1996)Riesetal1999肺癌发生率：病理类型、性别、种族(1973-1996)Wingoetal1999Wingoetal1999YearofdiagnosisWingoetal1999Wingoetal1999男性黑人女性黑人男性白人女性白人Wingoetal

2、1999Wingoetal1999肺癌的流行病学特点-90-92年肺癌占恶性肿瘤死因第1位的省市♦上海：43.53/10万♦天津：38.86♦辽宁：32.07♦黑龙江：29.06♦吉林：28.06南：23.07♦北京：22.25♦内蒙古：22.04肺癌的流行病学特点解剖和病理AnatomyandPathologyPituitaryglandPonsDuramaterMedullaoblongataNasopharynxOropharynxLaryngopharynx(hypopharynx)OesophagusCupula(dome)ofpl

3、euraClavicle1stribSubcostalparietalpleuraMediastinalparietalpleuraFLmainbronchusR.pulmonaryarteryVisceralpleuraoverrightlungHilusofrightlungPericardialmediastinal一pleuraSubsiernalandsubcostalparietalpleuraDiaphragmaticparietalpleuraDiaphragmNasalcavitySuperior[andsuprenfeMi

4、ddle

5、Inierior1NasalvestibuleOralcavityTongueEpiglottisLarynxVocalfold(cord)TracheaSubclavianarteryandveinAortaL.pulmonaryarteryL.mainbronchusLymphnodesPericardiumSternum(cutaway)LineaalbaOstiumofauditorytubeRectusabdominismuscleInternalobliquemuscleFalxcerebriSphenoidalsinu

6、sFrontalsinusNasalturbinates(conchae)6thand7thco^alcartilagesExternalobliquemuscle(cutaway)(nciliffii^lipifitCiini

7、ipb”八曲ClMlMii!tiiii:shitkcitirqllit!ll

8、il2ih--1!»h2larhh

9、f5Griffsitiioiiticjci:it

10、leiyKtiiBbcrii

11、hilhit!firi”kfi€iieililsiii:likris-Pjrniir•HltfliltKICh!triuhikrtHhi：HI*「IItHJ$iilluleriM；1]?1I0"”lIisd?EfIII1!IllIExternalinter8slz1$idevaleribs)(elevatearvdfixupperribeParasternalintercartilaginousmuscles(eievatertbs)Mu^lesofinspirationPrincipalSternoclftdf

12、rmastoid'(devatessternum)ScalenusanteriormiddleposteriorAccessoryDiaphragm(domesdescend,increasinglongitudinaldimensionofchestandelevatinglowerribs*MusclesofexpirationInternalobliqueTransversusabdominisQuietbreathingActivebreathing!iExpirationresultsfrompassiverecoiloflungs

13、Internalintercostal%exceptparasternalinter，cartilaginousmuscles(depressribs^Abdomi