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尘肺继发肺曲菌病少见报道。本院850例尘肺患者,经24年临床观察,仅遇一例,现报告如下。 患者:应××,男性,54岁,住院号0032,井下粉尘接触史7年。1963年5月诊断患Ⅰ期尘肺。1965年5月升为Ⅲ期,改用克矽平雾化吸入治疗12年。于1981年12月定期胸片复查中,发现右上肺野大片模糊阴影,诊为Ⅱ期尘肺合并右上浸润型肺结核,收住隔离治疗。 入院时主诉:轻咳,少量白痰,全身乏力,但无咯血。体检无重要阳性体征。血、尿常规和肝功能、
Pneumoconiosis secondary to pneumoconiosis rare reports. Our hospital 850 cases of pneumoconiosis patients, after 24 years of clinical observation, only one case, are as follows. Patients: Should × ×, male, 54 years old, hospital number 0032, downhole dust exposure history of 7 years. 1963 May diagnosis of stage Ⅰ pneumoconiosis. May 1965 rose to phase Ⅲ, switched to Ke Si-ping inhalation therapy for 12 years. In December 1981 regular chest examination, found that the right upper lung large area of fuzzy shadow, diagnosed with stage Ⅱ pneumoconiosis with right upper pulmonary tuberculosis, admitted to isolation treatment. Admission at the main complaint: light cough, a small amount of white sputum, malaise, but no hemoptysis. No important positive physical examination signs. Blood, urine and liver function,