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1983年我站诊断一例因溺水泥砂吸入所致肺部纤维性病变的患者,现将病例报道如下: 患者曾××,女,37岁,水文技术员。 患者于1967年7月17日在一次执行洪水监测任务时不慎被洪峰卷入水中,据当年洪水监测水文资料记载:洪峰水位12.08m,水深3.94m,流速3.82m/秒,河床断面平均含砂量152.08kg/m~3。患者于落水处千米外被救起,呈昏迷状态,送医院抢救数日后脱险。在住院治疗期间,曾间断咳出大量泥砂和粉红色样痰液,气短,胸闷,胸痛剧烈,并伴有高热。正位胸片x线像两肺片状模糊阴影。经抗炎和对症治疗,气喘、高热,胸痛等症状及胸片x线像阴影均有好转和吸收,但仍时有少量淡黄色痰液咳出。出院诊断:淹溺,吸入性肺炎。以后十余年中因病情反复发作,曾多次
1983 I diagnosed a case of lung fibrosis due to inhalation of drowning cement sand patients, the case is now reported as follows: patients had × ×, female, 37 years old, hydrological technician. According to the flood monitoring hydrological data of that year, the peak water level was 12.08m, the water depth was 3.94m, and the flow velocity was 3.82m / s. The mean section of the riverbed The amount of sand 152.08kg / m ~ 3. Patients were rescued from the water at the kilometer away, was unconscious, sent to hospital for rescue after a few days out of danger. During hospitalization, he had intermittent cough out a large amount of mud and pink sputum, shortness of breath, chest tightness, severe chest pain, accompanied by high fever. Orthographic chest x-ray film like two lung shadow blur. After anti-inflammatory and symptomatic treatment, asthma, fever, chest pain and other symptoms and chest X-ray shadow have improved and absorbed, but still a small amount of pale yellow sputum cough. Discharge diagnosis: drowning, aspiration pneumonia. After more than ten years because of recurrent illness, has repeatedly