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隐原性致纤维化性肺泡炎在临床上并非少见,最近我们经皮穿刺肺活检确诊一例,报告如下。病历摘要住院号234212,男,38岁,电工。1980年3月18日入院。缘于四个月前无何诱因畏寒、发热(38℃左右),伴轻度咳嗽,咯少许粘痰,胸部钝痛,一周后体温降至正常,但胸痛、气急渐重。拍胸片怀疑“肺结核、矽肺、肺泡癌”,多次验痰抗酸杆菌与瘤细胞,均阴性,系统抗痨治疗(SM+INH)三个月无效。3月17日转入我院门诊做经皮穿刺右肺活检后合并少量气胸,而住院观察。病前无发霉稻草及职业性粉尘接触史。
Cryptic fibrotic alveolar inflammation is not uncommon in clinical practice, the recent biopsy we percutaneous puncture confirmed a case, the report is as follows. Medical record summary Hospital number 234212, male, 38 years old, electrician. March 18, 1980 admitted to hospital. Due to no inducement four months ago chills, fever (about 38 ℃), with mild cough, slightly sticky phlegm, chest dull pain, a week later the body temperature dropped to normal, but chest pain, getting flustered. Take chest radiograph suspicious “tuberculosis, silicosis, alveolar cancer” sputum acid many bacilli and tumor cells were negative, the system anti-tuberculosis treatment (SM + INH) invalid for three months. March 17 into our hospital out-patient percutaneous right lung biopsy combined with a small amount of pneumothorax, and hospital observation. Pre-sick without mold straw and occupational dust exposure history.