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主治医师:这次查房讨论一例男性青年患者诊断问题,请实习医师报告病历。实习医师:男患者,19岁,住院号206229。因咳嗽3个月。右胸痛2月,加重5天,痰中带血3日,于1982年12月20日入院。1982年4月20日饮酒后出现咳嗽,一个月后右季肋钝痛,当地县医院检查诊断“支气管周围炎,反应性胸膜炎”,给予青、链霉素治疗三周后。胸痛缓解,X线检查“右肺下叶不张”,继续用上述治疗,并加用氢化考的松,病情未见好转。20天前去某医院,经X线检查发现“右肺门淋巴结核,右肺中叶不张”,用链霉素、雷米封、维生素B;等治疗,仍未见好转。胸痛加重。侧卧时剧
Attending Physician: The rounds of discussion to discuss a case of male young patients diagnosed, ask the intern to report medical records. Intern: Male patient, 19 years old, hospital number 206229. Due to cough for 3 months. Right chest pain in February, increased 5 days, bloody sputum on the 3rd, on December 20, 1982 admission. April 20, 1982 after drinking cough, a month after the right quarter of dull ribs pain, the local county hospital examination diagnosed “bronchial inflammation, reactive pleurisy”, give green, streptomycin after three weeks of treatment. Chest pain relief, X-ray examination, “the right lung atelectasis,” continue to use the above treatment, and add hydrocortisone, the condition did not improve. 20 days ago to a hospital, the X-ray examination found that “right hilar lymph node tuberculosis, right middle lobe atelectasis”, with streptomycin, Remy sealed, vitamin B; and other treatment, has not improved. Chest pain worsened. Lateral play