论文部分内容阅读
临床讨论本病例根据病史、临床症状、病程以及各项检查所见等有以下特点:(一)患者系22岁,男性,以咳嗽、吐脓痰、反复咯血、胸痛、疲乏、发热、盗汗等呈慢性发病。(二)患者从小务农,有生吃醉蟹、蝲蛄生活史,并有吸血虫病流行区河水接触史。自幼经常伤风感冒,曾患过胸膜炎,四年前有咳嗽、发热、胸痛、吐脓性痰等急性呼吸道感染史。(三)体检:呈慢性病容,体温37.5℃。左侧胸部语颤音减退、呼吸音低,两肺底有明显细啰音,左肺底明显。肝在肋缘下1厘米,质软无压痛。(四)X线检查:两肺野纹理增强,左肺下野4~5肋间靠心缘见大片模糊阴影,其中
Clinical Discussion This case based on history, clinical symptoms, course of disease and the inspection of the following characteristics have the following characteristics: (a) the patient is 22 years old, male, cough, spit pus sputum, repeated hemoptysis, chest pain, fatigue, fever, night sweats, etc. Chronic onset. (B) patients from small farming, raw eating drunk crabs, lynx life history, and blood-sucking bloodstream epidemic area history of contact. Since childhood, he often had cold and flu, had had pleurisy, and had cough, fever, chest pain, spit purulent sputum and other acute respiratory infections four years ago. (C) physical examination: a chronic disease, body temperature 37.5 ℃. The left thoracic tremor reduced, breath sounds low, the two lungs were significantly fine rales, left lung obvious. Liver 1 cm under the costal margin, soft, tenderness-free. (D) X-ray examination: enhanced field texture of the two lungs, the left lung field 4 ~ 5 intercostal margin by the heart to see a large shadow of the shadow, of which