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患者男,50岁,农业技术员。因咳嗽、气短10年进行性加重半年于1994年4月4日以“Ⅲ型肺结核”收住我院。1983年曾在外院诊断为“肺结核”行规律抗痨一年、九个月及六个月。患者自诉以干咳为主伴轻度气短,呈缓慢进行性加重,盗汗及发热不明显,近一年上述症状加重。曾有密切农药接触史,1982年患“蘑菇肺”。本次入院查体:T36℃,P86次/分,R30次/分,BP12/9kPa,一般情况尚可,轻度紫绀,杵状指不明显。两肺散在干湿啰音,胸片:两肺野呈毛玻璃状,可见网络样阴影,两肺中野可见蜂窝样透光区,两上野散在多个大泡。实验室检查:痰涂
Male patient, 50 years old, agricultural technician. Due to cough, shortness of breath 10 years of progressive aggravating six months on April 4, 1994 to “type Ⅲ tuberculosis” admitted to our hospital. In 1983, it was diagnosed as “tuberculosis” in the outer court for one year, nine months and six months. Patient self-prosecution to dry cough accompanied by mild shortness of breath, was slowly progressive increase, night sweats and fever was not obvious, the past year, the above symptoms worsened. Had a close contact with pesticides, 1982 suffering from “mushroom lung.” The admission examination: T36 ℃, P86 times / min, R30 beats / min, BP12 / 9kPa, the general situation is acceptable, mild cyanosis, clubbing is not obvious. Dry and wet lungs are scattered in both lungs, chest X-ray: two Lung field was frosted glassy, visible network-like shadows, visible in both lungs Nakano-like translucent areas, two Ueno scattered in multiple bullae. Laboratory examination: sputum coated