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由于与矽肺的 X 线征象相似的肺部疾病较多,常常引起误诊。虽然矽肺病的诊断职业史和临床病情不能忽视,但 X 线征象是矽肺病的重要客观依据。本文就尸解证实的5例,从 X 线、病理对照,讨论矽肺 X 线鉴别诊断的重要意义。其目的在于提高 X 线诊断水平。病例介绍例1:男,61岁。某防爆电器厂手锤及机器粉碎工。矽尘接触史共17年。其中“重”15年。临床症状明显:气急、咳嗽、咳痰3年。慢性支气管炎史4年。有时发热,反复
Misdiagnosis often results from more lung disease similar to that of silicosis. Although the diagnosis of silicosis occupational history and clinical conditions can not be ignored, but the X-ray signs of silicosis is an important objective evidence. In this paper, autopsy confirmed in 5 cases, from X-ray, pathological control, discuss the importance of differential diagnosis of silicosis X-ray. Its purpose is to improve the diagnostic level of X-ray. Case Presentation Example 1: Male, 61 years old. Explosion-proof electrical plant hammer and machine crusher. History of contact with silica dust a total of 17 years. Which “heavy” 15 years. Clinical symptoms are obvious: shortness of breath, cough, sputum for 3 years. Chronic bronchitis history of 4 years. Sometimes fever, repeated