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例1 住院号194041,男,58岁,吸烟20支/日约20年,清砂工14年。1973年诊断为矽肺Ⅰ期。1977年2月因胸闷、胸痛、气急、咳嗽加重而入院。查体:消瘦,桶状胸,两肺闻及散在干湿性罗音,心音正常,腹软,未扪及肿块,肝肋下约0.5cm、剑突下4.0cm,质中,有压痛,脾未触及,其他
Example 1 194041 hospitalization, male, 58 years old, 20 cigarettes per day for about 20 years, sand cleaning workers for 14 years. 1973 was diagnosed as silicosis Ⅰ. February 1977 due to chest tightness, chest pain, shortness of breath, cough and increased admission. Examination: weight loss, barrel chest, lungs and scattered in the wet and dry rales, heart sounds normal, abdominal soft, palpable mass, liver ribs about 0.5cm, xiphoid 4.0cm, quality, tenderness, Spleen not touched, other