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病历摘要患者,男,45岁,住院号6234。因胸闷、气促15月,加重5月,于1984年6月15日入院。于1983年3月起活动后即感胸闷气促,且日见加重,当时做心电图、胸部X线透视及血常规检查均未发现异常,同年10月、12月分别摄胸片示两肺中下有大小不等斑点状结节样改变,疑肺部炎症,给予抗炎治疗1周未见好转而转外地,反复查痰找癌细胞及抗酸杆菌均为阴性。为明确诊断行纤维支气管镜肺活检(简称TBLB),报告为支气管及肺泡轻度慢性炎症,因病理与临床不符先后经多次复查,其结果相同而入院。
Patient summary, male, 45 years old, hospital number 6234. Due to chest tightness, shortness of breath in 15 months, increased in May, 1984 June 15 admission. In March 1983 since the activity immediately after feeling chest tightness and shortness of breath, and increasingly common, then do electrocardiogram, chest X-ray and blood tests were found no abnormalities, the same year in October and December were taken chest radiograph in both lungs Under the size of spot-like nodules vary in size, suspected lung inflammation, anti-inflammatory treatment for 1 week without improvement and transferred to the field, repeated sputum looking for cancer cells and acid-fast bacilli are negative. To confirm the diagnosis of bronchoscopic lung biopsy (referred to as TBLB), bronchial and alveolar mild chronic inflammation reported, due to pathology and clinical discrepancies have been repeatedly reviewed, the results were the same and admitted.