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例1,男,35岁,木工。因乏力、咳嗽、痰中带血、胸闷1个月余,于1993年8月18日入院。查体:体温、脉搏、呼吸、血压正常。心肺未见阳性体征。血沉12mm/h,血常规正常。3次痰集抗酸杆菌和2次痰涂片查抗酸杆菌均为(-)。OT试验(+)。胸片:两肺门影密度增高、增宽,肺纹理紊乱。诊断为肺门结核。入院后,给抗结核及对症治疗3个月余,咳嗽稍减轻,痰中带血消失,但仍胸闷、乏力。复查胸片,见两肺病灶无明显变化。追问病史,该患者于18岁开始从事木材加工作业,近3年调离单位。根据该患者有14年的木工工作史,结合临床抗结核治疗效果不佳,考虑是否有木尘肺之可能,经职业病院会诊,确诊为木尘肺。
Example 1, male, 35 years old, carpentry. Due to fatigue, cough, bloody sputum, chest tightness more than 1 month, admitted on August 18, 1993. Physical examination: body temperature, pulse, breathing, normal blood pressure. Cardiopulmonary no positive signs. ESR 12mm / h, normal blood. Acid sputum three times and sputum smear acid-fast bacilli were (-). OT test (+). Chest radiograph: Hilum shadow density increased, widened, lung texture disorders. Diagnosis of hilar tuberculosis. After admission, to anti-TB and symptomatic treatment more than 3 months, cough slightly reduced, bloody sputum disappeared, but still chest tightness, fatigue. Check the chest, see no significant change in both lung lesions. Asked the medical history, the patient started at the age of 18 engaged in wood processing operations, the transfer of units in the past 3 years. According to the patient has a history of 14 years of carpentry work, combined with clinical anti-TB treatment ineffective, to consider whether there is the possibility of wood pneumoconiosis, consultation by occupational theaters, diagnosed as pneumoconiosis.