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男患,67岁。因剧烈咳嗽2个月,痰中带血15天于1988年11月16日就诊。检查:T36℃,P86次/分,R18次/分,BP18.0/12.0KPa,略消瘦、慢性病容。右肺中下部听到散在干鸣音,心脏和腹部来见异常。胸片示右肺门阴影明显增大。纤维支气管镜检查示右主支气管粘膜充血,后外侧壁肿胀并有-0.6×1.0cm大小之溃疡,拟诊为右中心型肺癌。患者回当地治疗。因近7天出现发热(38℃)、盗汗和咯血而于同年12月2日再次就诊。30年前患过肺结核。实验室检查:RBC3.4×10~(12)/L,HB100g/L,WBC12.6×10~9/L,血沉60mm/h。痰液涂片检查发现抗酸杆菌,痰培养有结核杆菌生长。确诊为右支气管淋巴结结核合并右主支气管内膜结核,回当地进行抗结核
Male suffering, 67 years old. Due to severe cough for 2 months, bloody sputum 15 days in November 16, 1988 treatment. Check: T36 ℃, P86 times / min, R18 times / min, BP18.0 / 12.0KPa, slightly thin, chronic disease. Heard the middle and lower right lungs scattered in the dry sounds, heart and abdomen to see abnormalities. Chest radiograph showed a significant increase in hilar shadow. Bronchoscopy showed right main bronchial mucosal hyperemia, posterior lateral wall swelling and -0.6 × 1.0cm size ulcer, to be diagnosed as right-center lung cancer. Patient back to the local treatment. Due to fever (38 ℃), night sweats and hemoptysis in the past 7 days in the same year on December 2 again treatment. Thirty tuberculosis occurred 30 years ago. Laboratory tests: RBC3.4 × 10 ~ (12) / L, HB100g / L, WBC12.6 × 10 ~ 9 / L, ESR 60mm / h. Sputum smear examination found acid-fast bacilli, sputum culture with Mycobacterium tuberculosis growth. Confirmed as right bronchial lymph node tuberculosis with right main bronchial tuberculosis, back to the local anti-TB