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患者男性、71岁、职员。因咳嗽、胸痛、痰中带血1月余,加重伴畏寒、发热半月。x线胸片示:左中下肺有明显增多的条纹及斑块状影,并有蜂窝状透光区及多个液平面。门诊考虑为左下支气管扩张伴感染。用庆大霉素、洁霉素治疗病情无好转,于1984年10月3日收住我院。1年前曾因咳嗽,痰中带血丝,x线胸透为慢性支气管炎、肺气肿、陈旧性肺结核。入院检查:T39℃、P100次/min、R23次/min、BP10.7/6.67KPa。口腔无糜烂或溃疡,心脏正常,肺有气肿征,左下肺叩浊,闻及少许湿罗音。WBC7.8×10~9/L、N86%、L14%。SR105mm/n。血培养3次均阴性。入院初步考虑为:左下肺支
Patient male, 71 years old, staff member. Due to cough, chest pain, bloody sputum more than 1 month, with severe chills, fever half a month. X-ray showed: the left middle and lower lung significantly increased streaks and plaque shadow, and a honeycomb translucent zone and a number of liquid level. Outpatient consideration for the lower left bronchiectasis with infection. With gentamicin, lincomycin treatment of the disease did not improve, on October 3, 1984 admitted to our hospital. A year ago because of cough, bloody sputum, x-ray chest for chronic bronchitis, emphysema, old tuberculosis. Admission examination: T39 ℃, P100 times / min, R23 times / min, BP10.7 / 6.67KPa. No erosion or ulceration of the mouth, normal heart, pulmonary emphysema sign, lower left lung tap turbidity, smell and a little wet rales. WBC7.8 × 10 ~ 9 / L, N86%, L14%. SR105mm / n. Blood culture 3 times were negative. Admission is considered as a preliminary: left lower lung branch