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目前我国在矽肺临床诊断,主要以普通X线胸大片为依据。从六三年所公布的国家诊断标准,基本上适用的,由全国各地报告的大量资料表明,力求尽量反映病理改变。矽肺的分期标准它能够反映病理改变,但并非全面地反映,这一点已被人们所公认。为了积累这方面的资料,兹将我们所搜集的二例均有十年以上工龄的粉尘作业史的工人,对照结果如下,供同道们参考: 1.张秉武,男,39岁,住院号91580,原系大同砂轮厂工人,粉尘作业十二年之久。主诉:咳嗽,咳痰带血,呼吸不畅有20余年,并逐年加重。病史:从十岁开始曾发烧,咳嗽,吐泡沫痰,以后逐渐加重,伴呼吸不畅。且易感冒而症状加重。
At present, clinical diagnosis of silicosis in our country, mainly based on ordinary X-ray chest. From the national diagnostic criteria published in 1993, basically a large amount of information reported from all over the country shows that it strives to reflect as much pathological changes as possible. Staging criteria for silicosis It is well established that it reflects pathological changes, but does not reflect it comprehensively. In order to accumulate information in this respect, we have collected the following two samples of workers who have working history of more than 10 years of dust work. The results are as follows for fellow citizens: 1. Zhang Bingwu, male, 39 years old, hospitalization No. 91580, The original Datong Wheel Factory workers, dust operations for 12 years. Chief complaint: cough, sputum bloody, poor breathing more than 20 years, and increasing year by year. History: From the age of ten had a fever, cough, spit foam sputum, later gradually increased, with poor breathing. And susceptible to cold and symptoms worse.