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1 临床资料 患者,男,45岁。因胸闷、咳嗽、乏力3个月加重月余就诊。3个月前原因不明地出现胸闷、咳嗽、乏力到某医院就诊,胸透发现双肺弥漫性结节状阴影,怀疑急性粟粒型肺结核,转当地结核病防治所治疗,经规律有力抗结核治疗1月病情进行性加重,为进一步诊治转来本院。发病以来食欲尚可,睡眠一般,大小便正常。从事石墨露天开采3年,环境恶劣,保
1 clinical data patients, male, 45 years old. Due to chest tightness, cough, fatigue for 3 months to increase the remaining treatment. 3 months ago, unexplained chest tightness, cough, fatigue to a hospital, chest X-ray findings of diffuse pulmonary nodular shadow, suspected acute miliary tuberculosis, transferred to the local tuberculosis treatment by the law of powerful anti-TB treatment 1 Progressive increase in the disease, transferred to the hospital for further diagnosis and treatment. Since the onset of appetite is acceptable, sleep in general, normal urine. Engaged in open-pit graphite mining for three years, the environment is harsh, Paul