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例1:女,44岁,病历号6788。患者干咳,左侧背痛呈进行性加剧三个月于1980年4月15日入院。干咳以夜间为重,无痰中带血。左侧背痛局限。不伴发热。开始诊为“感冒”,服中药无好转。经胸透发现“左肺下部阴影”。又诊为“肺炎”,给予青、链霉素、四环素、黄连素治疗一个月无效,血沉快转来我科。既往患过肠系膜淋巴结核治疗一年而愈。检查:体温36.8℃,吸呼19次/分,脉搏76次/分,血压130/90毫米汞柱。唇无紫绀,全身浅表淋巴结无肿大,心、肺正常。腹软未触及肿块及结节,肝、脾不大,无杵状指。化验:白细胞9500,血红蛋白12.5克％,血沉25毫米/小时。X线所见:左肺下部内带可见斑片,小结节状阴影,密度欠均,边缘模糊,心缘掩盖征阴性(图1)。
Example 1: Female, 44 years old, medical record number 6788. Patients with dry cough, left back pain was progressive increase in three months in April 15, 1980 admission. Dry cough at night, no sputum bloody. Left back pain limitations. Not with fever. Start diagnosed as “cold”, serving no improvement of Chinese medicine. Transcranial found “lower left lung shadow.” Also diagnosed as “pneumonia”, to give green, streptomycin, tetracycline, berberine treatment for one month is invalid, ESR quickly turn to our department. Past history of mesenteric lymph node tuberculosis treatment and more. Check: body temperature 36.8 ℃, breathing 19 beats / min, pulse 76 beats / min, blood pressure 130/90 mm Hg. Lip cyanosis, systemic superficial lymph nodes without swelling, heart, lungs normal. Abdominal soft touch of the tumor and nodules, liver, spleen is not large, without clubbing means. Laboratory tests: white blood cells 9500, hemoglobin 12.5 g%, erythrocyte sedimentation rate 25 mm / hour. X-ray findings: the lower left lung with visible patches, nodular shadows, density less homogeneous, blurred edges, heart margin cover negative sign (Figure 1).