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病历摘要某女,29岁,某血库检验员。因左侧胸背疼痛,乏力3个月,胸片示左肺门处有3个密度不均、边缘不清圆形阴影,于1985年5月24日收住院。既往无吸烟及油烟污染史。查体:发育、营养正常,心肺无异常发现。腹软,肝脾未触及。血常规正常,血沉40mm/h,入院诊断“原发频肺结核”。经用雷米封,利福定,乙胺丁醇抗痨治疗3个月,左侧胸背疼痛无缓解。复查原病灶吸收不到1/3,并经胸透动态观察,结果与胸片一致,多次痰集菌一次卡氏Ⅰ号,5单位结素试验两次阴性。4个月后,始感呼吸不畅,气管内无异物感伴发痒,干咳,左胸呈针刺样痛,体温38℃,
Medical record summary Female, 29 years old, a blood bank inspector. Because of the left chest and back pain, fatigue for 3 months, chest X-ray showed three degrees of unevenness at the left hilum, the edge is not clear round shadows, on May 24, 1985 admitted to hospital. No previous history of smoking and soot pollution. Physical examination: development, normal nutrition, no abnormal heart and lung findings. Abdomen soft, liver and spleen not touched. Normal blood, ESR 40mm / h, admission diagnosis “primary frequency of pulmonary tuberculosis ”. By Remy sealed, rifamycin, ethambutol anti-tuberculosis treatment for 3 months, no relief of chest and back pain on the left. Review of the original lesion to absorb less than 1/3, and dynamic observation by chest through the chest, the results consistent with the chest X-ray, a number of sputum-collecting bacteria once Karl I, 5 units of knot test twice negative. After 4 months, the beginning of sensory dyspnea, no foreign body trachea with itchy, dry cough, acupuncture-like left chest pain, body temperature 38 ℃,