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患者男,65岁,住院号164730。1980年2月发现手指末端逐渐粗大,无任何不适。1982年2月上旬起持续性发热,体温38～39℃,WBC 13,000/mm~3,胸片示右下肺片状模糊阴影,经抗生素治疗无效,于同年3月9日转入我院。发病以来无咳嗽、咯痰、咯血或胸痛。1956年因结核球作右上肺叶切除。吸烟50年,每日20支。 体格检查 体温38℃,神志清,消瘦,全身浅表淋巴结无肿大。右上胸部有一手术疤痕。心肺听诊
The patient was male, 65 years old, with a hospital number of 164,730. In February 1980, the end of the finger was found to be gradually enlarged without any discomfort. In early February 1982, persistent fever, body temperature 38 ~ 39 °C, WBC 13,000/mm ~ 3, chest X-ray shows the right lower lung fluky shadow, the antibiotic treatment was invalid, in March 9th the same year into our hospital. No cough, expectoration, hemoptysis, or chest pain since the onset. In 1956, the right upper lobe was removed for tuberculosis. Smoking for 50 years, 20 daily. Physical examination Body temperature 38 °C, clear-minded, weight loss, no swelling of the body’s superficial lymph nodes. There is a surgical scar on the upper right chest. Cardiopulmonary auscultation