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患者,男,32岁。住院号 61563,因发冷、发热、咳嗽一周,以发热待查诊断于1984年5月8日入院。经胸部正侧位片、断层片及颈部淋巴腺活检确诊为:右上纵隔淋巴腺结核。于6月21日用利福平0.45g/d,异烟肼0.3g/d,乙胺丁醇1g/d,三联抗结核治疗。经抗结核治疗后,患者体温降至正常,但逐渐出现胸闷乏力,活动后气短,于9月7日复查胸片:右上纵隔淋巴腺病变影较6月16日正侧位及断层片病变影明显增大。继续原方案抗结核治疗1个半月后,复查胸片,病灶影缩小,12月下旬后采用单服异烟肼0.3g/d,
Patient, male, 32 years old. Hospitalization 61563, due to chills, fever, cough for a week, fever to be diagnosed on May 8, 1984 admission. The chest is the lateral radiographs, tomographic and cervical lymph biopsy diagnosed as: upper right mediastinal lymph node tuberculosis. On June 21 with rifampicin 0.45g / d, isoniazid 0.3g / d, ethambutol 1g / d, triple anti-TB treatment. After anti-TB treatment, the patient’s body temperature dropped to normal, but gradually chest tightness and fatigue, shortness of breath after the event, on September 7 review chest: upper right mediastinal lymph node lesions than June 16 is lateral and the lesion lesions Significantly increased. To continue the original program after anti-TB treatment 1 and a half months, the review of chest X-ray, lesion shadow narrow, late in late December with single-dose isoniazid 0.3g / d,