我院于1958年收治矽肺一例,曾长期误诊为肺结核,经追问职业史后,始被确诊。本例病情进展迅速,入院后经过二年即死亡。现将病历摘要及病理所见报导如下,供参考。患者男性、23岁、住院号19586,因咳嗽、气短、胸痛、消瘦已八个月而入院。缘于1958年2月间于劳动或跑步后即感气喘、咳嗽,当时不曾介意。同年7月间因气急、胸痛、咳嗽增剧,吐白色粘性样痰,体质日渐消瘦不支而入××医院,诊断为“亚急性血行播散型肺结核”。同年9月16日又转××医院,诊断同上。住院中每日下午发烧,夜间出汗,曾接受抗结核药物治疗,未见好转,遂于1958年10月8日转入我院。平素健康良好,1957年2月在 My courtyard was treated in 1958 a case of silicosis, has long been misdiagnosed as tuberculosis, after being asked about occupational history, was diagnosed. The rapid progression of the disease in this case, died after two years after admission. Now the medical records summary and pathology report as follows, for reference. Male patient, 23 years old, hospital number 19586, was admitted for eight months because of cough, shortness of breath, chest pain and weight loss. Due to February 1958 in the labor or running after feeling asthma, cough, then did not mind. In July the same year due to shortness of breath, chest pain, increased cough, vomiting spit white viscous sputum, physique weightlessness into × × Hospital, diagnosed as “subacute hematogenous disseminated pulmonary tuberculosis.” September 16 the same year turn to × × hospital, diagnosed as above. Daily afternoon fever in hospitalized, sweating at night, had received anti-TB drug treatment, no improvement, then in October 8, 1958 into our hospital. Usually healthy and good, in February 1957 at