论文部分内容阅读
病历摘要患者,女,64岁,于1984年11月6日住我院。10个月前出现咳嗽,咯少量白痰,伴低热,在外院诊为“双下肺炎”,给予青霉素等抗生素治疗后症状略减,胸透为肺内炎症吸收呈斑点状影。5个月前上述症状加重,体温38.5℃,伴胸闷、气短来我院。X线胸片示:“左下肺炎”,首次入院。支气管分叉断层示:未见支气管腔内病变和淋巴结肿大,双上肺结核硬结索条为主。痰找结核菌和癌细胞各2次均为阴性。给青、链霉素及试验性抗痨治疗后,症状减轻。出院诊断:支气管扩张,双上肺陈旧结核,肺间质纤维化待
Patient, female, 64 years old, lived in our hospital on November 6, 1984. 10 months ago, cough, a small amount of white sputum, with fever, in the out-patient clinic as “double pneumonia”, give penicillin and other antibiotics slightly reduced symptoms after treatment, thoracic absorption of lung inflammation was speckled. 5 months ago, the symptoms worsened, body temperature 38.5 ℃, with chest tightness, shortness of breath to our hospital. X-ray showed: “left lower pneumonia”, the first admission. Bronchial bifurcation showed: no bronchial lesions and lymphadenopathy, double tuberculous tuberculin main rope. Phlegm to find TB and cancer cells were negative 2 times. Give green, streptomycin and experimental anti-tuberculosis treatment, the symptoms alleviate. Discharge diagnosis: bronchiectasis, double lung obsolete tuberculosis, pulmonary fibrosis to be