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李某,男,56岁,住院号192。患者1950—1953年在某石粉厂磨石英粉,于100平方米的室内放三只磨,三人为一组(两人推磨,一人加料),轮流操作,工作场所的粉尘如白雾弥漫,无任何防护措施。每天工作八小时外,下班后又在作坊隔壁居住。1953年确诊为工期矽肺,症状逐年重,1956年发展为Ⅱ期,1967年并发左上浸润型肺结核,经抗痨治疗七年,肺结核愈。本次因矽肺并发自发性气胸入院。否认以往有肝脾疾病。体检:左肺呼吸音及语颤均降低,叩左肺高清音。呼吸16次/分;心率84次/分,余未见异常。
Lee, male, 56 years old, hospital 192. Patients Grind quartz powder in a powder mill from 1950 to 1953. Put three mills in a 100-square-meter room, one for three people (two for grinding and one for man), alternating turns of dust in workplaces such as white fog, Without any protective measures. Work eight hours a day, after work and living next door to the workshop. 1953 was diagnosed as silicosis period, the symptoms year by year, 1956 developed into phase Ⅱ, 1967 complicated by left upper infiltration of tuberculosis, anti-tuberculosis treatment for seven years, the more tuberculosis. The silicosis due to spontaneous pneumothorax admission. Denied past liver and spleen disease. Physical examination: left lung breath sounds and tremor are reduced, knocking the left lung high-definition sound. Breathing 16 beats / min; heart rate 84 beats / min, I no abnormalities.