病例报告 病例1,男性,50岁,某刀剪厂的磨工。接尘工龄13年。主诉胸闷、气短5—6年,近两个月加重,左侧胸痛三个月。患者于1967年定诊为磨工尘肺Ⅰ期。1978年12月进展为Ⅱ期。于1982年4月5日入院。 体检:一般状态佳。气管居中,颈、锁淋巴结未触及,桶状胸,肺肝界于右锁骨中线第七肋间,两肺叩诊清音,听诊右肺小呼吸音弱,左肺腋中下部可闻及小水泡音。心脏、腹部和神经系统无异常所见。 实验室检查:肝功及血、尿常规均正常,痰连检三次脱落细胞均可疑。心电图检查正常。X线胸片,除尘肺所见外,尚有右肺中叶不张。纤维支气管镜检查所见,声带、气管、隆突、左右支气管腔、 Case report Case 1, male, 50 years old, a knife mill factory workers. Dusting service length of 13 years. Chief complaint chest tightness, shortness of breath 5-6 years, increased nearly two months, left chest pain for three months. Patients diagnosed in 1967 as mill workers pneumoconiosis stage. December 1978 progress to phase Ⅱ. On April 5, 1982 admission. Physical examination: the general state of good. The middle of the trachea, neck, lymph nodes did not touch, barrel chest, lung and liver in the right subclavian midline of the seventh intercostal space, two lungs percussion voiceless, auscultation of the right lung small breath sounds, the left lung axillary midrange can be heard and small blisters sound. Heart, abdomen and nervous system no abnormal seen. Laboratory tests: liver function and blood, urine routine are normal, sputum even check the three exfoliated cells were suspicious. ECG is normal. X-ray, except the lungs seen, there is a middle right atelectasis. Fiberoptic bronchoscopy seen, vocal cords, trachea, carina, about bronchial cavity,