论文部分内容阅读
杨希哲(河南省三门峡市卫生防疫站)报道:患者男,53岁,1947年9月开始在山东某矿业公司当风钻工。以开采硫磺及金矿为主,干式作业,粉尘浓度高,对面不见人,无防护措施。1954年8月调到某厂铸造车间当翻砂工2年,累计接尘年限9年。1963年底经锦州市矽肺诊断小组会诊,诊断为Ⅱ期矽肺。1981年10月自觉吞咽有阻塞感,吃硬食更甚,咽下时有胸骨后轻微疼痛,疑诊为慢性食道炎,消炎治疗一个月左右无好转。后经食道钡餐透视发现食管中段相当于第7胸椎处,前壁有不规则充盈缺损,扩张度尚可,病变长约3cm,又疑诊为食道中段癌。1982年1月7日做食道镜检查,在距门
Yang Xizhe (Sanmenxia City, Henan Province Health and Epidemic Prevention Station) reported: The patient male, 53 years old, started in September 1947 in Shandong mining company windbreaker. Sulfur mining and gold-based, dry-type operation, high dust concentration, across from no one, no protective measures. August 1954 transferred to a foundry foundry shop when turning sand work 2 years, the cumulative dust-nine years. By the end of 1963, Jinzhou City, silicosis diagnostic team consultation, diagnosed as stage II silicosis. October 1981 consciously swallowed a sense of obstruction, eat hard food even worse, when swallowing slight pain after the sternum, suspected of chronic esophagitis, anti-inflammatory treatment for about a month without improvement. After trans-esophageal barium meal fluoroscopy found that the middle of the esophagus is equivalent to the seventh thoracic vertebrae, the anterior wall has irregular filling defect, the expansion is acceptable, the lesion is about 3cm, and suspects the diagnosis of esophageal cancer. January 7, 1982 to do esophageal examination, at the distance from the door