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第一次查房教授:这是1例肺组织细胞增生症X(PHX)并强制性多饮(精神性烦渴)的患者。希望通过讨论加强对本病的认识。先请报告病历。实习医师:患者男,22岁。低热、轻咳2月余,多饮、多尿1月余。初因雨淋感冒后全身不适、低热,在外院摄X线胸片示右肺上野小片状浸润及肺门、纵隔淋巴结肿大,诊断为结核,给予异姻肼、链霉素及PAS治疗。40天后复查胸片示肺病变、肺门淋巴结均较前增大。患者出现口渴,每日饮水量约5暖瓶,尿量也多,夜间常数次饮水和排
The first round of ward professor: This is a case of pulmonary cell hyperplasia X (PHX) and forced to drink (mental polydipsia) patients. Hope that through discussion to enhance awareness of the disease. Please report the medical record first. Intern: Patient male, 22 years old. Low fever, light cough 2 months, drink more, more than 1 month urine. At the beginning of the rain, cold and general malaise, fever, X-ray showed at the outer court of the right lung small pieces of infiltration and hilar, mediastinal lymph nodes, diagnosed as tuberculosis, given hydrazide, streptomycin and PAS treatment. Forty days after the chest examination showed lung lesions, hilar lymph nodes were increased compared with the previous. Patients with thirst, daily drinking water about 5 warm bottles, urine output is also more, the night constant times the number of water and row