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例1:男,67岁。因咳嗽及痰中带血3天就诊,拟诊急性支气管炎,口服消炎及止嗽药,肌注止血敏,治疗3天后咳嗽、咯血停止。半月后再次咳嗽及痰中带血,伴胸闷、气促,胸部X线透视见左上肺有片状阴影,密度不匀。拟诊为左上肺结核收住。病程中无畏寒、发热、胸痛和盗汗。体检:急性病容,浅表淋巴结不肿大,唇无紫绀,颈软,无颈静脉怒张,气管居中,胸廓对称,左上肺
Example 1: Male, 67 years old. Due to cough and phlegm bloody 3 days treatment, diagnosis of acute bronchitis, oral anti-inflammatory and anti-cough medicine, intramuscular bleeding sensitivity, cough after 3 days of treatment, hemoptysis stopped. Half a month after cough and bloody sputum, with chest tightness, shortness of breath, chest X-ray see the top left lung with a shadow, uneven density. To be diagnosed as upper left tuberculosis admitted. No chills, fever, chest pain and night sweats during the course of the disease. Physical examination: acute disease, superficial lymph nodes are not swollen, lips without cyanosis, neck soft, jugulla vein engorgement, tracheal center, thorax symmetry, left upper lung