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患者,女,22岁,住院号125216。以不规则发热5个多月,干咳、胸闷、胸痛3个月,加重1天伴昏厥入院。于1986年4月开始不规则发热,伴头晕、乏力。5月出现干咳、胸闷及右侧胸痛。6月突然发生昏厥而入某院。X线胸片示两肺下部纤维束状及囊性病变,两肋膈角钝。头颅X线片正常。心电图正常。肝、胆、脾、胰腺及肾脏B型超声波检查均未见明显异常。血沉65mm/h,AKP>100~u,αGT>700~u。用抗生素及对症治疗,病情未见好转而转来我院。来门诊
Patient, female, 22 years old, hospital number 125216. Irregular fever for more than 5 months, dry cough, chest tightness, chest pain for 3 months, aggravating one day with fainting admitted to hospital. In April 1986 began irregular fever, with dizziness, fatigue. May appear dry cough, chest tightness and right chest pain. Sudden onset of syncope in June and into a hospital. X-ray showed two fibrous lower lung bundles and cystic lesions, two costal diaphragm angle dull. Skull X-ray film normal. Normal ECG. Liver, gallbladder, spleen, pancreas and kidney B-mode ultrasound showed no significant abnormalities. ESR 65mm / h, AKP> 100 ~ u, αGT> 700 ~ u. With antibiotics and symptomatic treatment, the condition did not improve and transferred to our hospital. To the clinic