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石棉肺人体病理资料国外报导不多,国内我组曾报告四例。石棉肺双肺中上病变占优势且出现大块纤维化者颇罕见。现将我们尸检一例整理报告,以供防治,诊断和研究的参考。临床资料;女,52岁,石棉矿选矿工20年。手工作业,粉尘浓度很高。因咳嗽,咯痰,全身浮肿二月入院。曾咳嗽,气紧,心累心跳,胸闷,不能平卧及面部、下肢水肿,反复十余年。往往受凉后发烧,上述症状加重,曾住院治疗数次。体检:一般情况差,呼吸急迫,唇发绀,颈静脉怒张,心界两侧扩大,心率110次/分,律不齐。双肺广泛干湿鸣。肝肋下二指,剑下三指,腹水和肝颈静脉回流征阳性。面部及双下肢水肿。于住院期中病情突然恶化,抢救无效死亡。X线:1963年——石棉肺Ⅰ期;1965年——石棉肺Ⅱ期;1973年——石棉肺Ⅲ期。
Abdominal asbestos lung pathology data reported little foreign, our group has reported four cases in our country. Asbestosis lung lung lesions in the upper middle and the emergence of large fibrosis are quite rare. We will now autopsy a case of collation reports for prevention, diagnosis and research reference. Clinical data; female, 52 years old, asbestos ore beneficiary for 20 years. Manual operation, dust concentration is high. Due to cough, expectoration, systemic edema February admission. Had cough, tight gas, heart tired heart, chest tightness, can not lie and face, lower extremity edema, repeated more than ten years. Often cold and fever, the above symptoms worse, had hospitalized several times. Physical examination: poor general condition, urgent breathing, cyanosis of the lips, jugular vein engorgement, expansion of the heart on both sides, heart rate 110 beats / min, irregularities. Lung extensive wet and dry Ming. Two ribs under the ribs, three fingers under the sword, ascites and liver jugular vein reflux sign positive. Facial and lower extremity edema. Sudden deterioration in the hospitalization period, rescue invalid death. X-ray: 1963 - asbestosis Ⅰ; 1965 - asbestosis Ⅱ; 1973 - asbestosis Ⅲ.