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一年来,门诊诊治6例急性肺炎,其中早期诊治5例,延误诊治1例;送军医院治愈3例,门诊治愈3例。现将上述病例作简要分析。一、门诊重视客观检查确诊2例例1:任某,男性,21岁,战士。因发热、干咳伴头痛及全身疼痛2日,于1984年8月27日来诊。查体见急性病容,精神差,体温37.8℃,心率82次,肺部未发现阳性体征。化验:白细胞总数10,000,中性86%。X 线胸透见左下肺野有云雾状边界模糊之片状影,诊断为左下肺炎,于当日送军医院,住院治愈。例2:类似例1。二、经军医院会诊确诊1例例3:夏某,男性,10岁,学生。因咳嗽、咯少量白色粘痰4日,于1984年6月7日来诊,查体未见阳性体征。其姐有结核性胸膜炎病史,当日送军医院会诊,X 线胸部平片见双肺纹理明显增多增粗,呈网状,较模糊,左中肺可见浅淡片状影,左
In the past year, outpatient diagnosis and treatment of 6 cases of acute pneumonia, including early diagnosis and treatment in 5 cases, delayed diagnosis and treatment of 1 case; sent to the military hospital cured in 3 cases, outpatient cured in 3 cases. Now the case for a brief analysis. First, outpatient attention to objective examination confirmed 2 cases 1: Ren, male, 21 years old, soldiers. Due to fever, dry cough with headache and general pain on the 2nd, on August 27, 1984 visit. Check the body to see acute disease, poor spirit, body temperature 37.8 ℃, heart rate 82 times, the lungs did not find positive signs. Assay: 10,000 white blood cells, 86% neutral. X-ray chest see the lower left lung field cloud-like border blurred film-like shadow, diagnosed as left lower pneumonia, on the day to send military hospital, hospitalized. Example 2: Similar Example 1. Second, the military hospital consultation diagnosed an example 3: Xia Mou, male, 10 years old, student. Due to cough, slightly a little white phlegm 4, June 7, 1984 visit, physical examination showed no positive signs. The sister has a history of tuberculous pleurisy, the day sent to the military hospital consultation, chest X-ray plain lungs were significantly increased texture thick, reticular, more fuzzy, the left lung can be seen faint shadow, left