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患者,女,汉族,17岁,在1989年3月初体检时发现右下肺有一6×6×7cm包块,密度均匀,边缘整齐,呈弧形钙化囊壁阴影,既往无发热,脚痛,咳嗽病史。与狗、羊有密切接触史,诊断为肺包虫。于1989年3月14日入院。体育T37.1℃,P82次/分,R22次/分,Bp14.6/9.3kPa,浅淋巴结无肿大,右下肺呼吸减弱,无干湿罗音,余无阳性体征。Hb 12.6g/L,WBC 1.46×10~9/L。N75%,包虫皮内试验,12小时后呈现阳性反应,补体结合试验(+),B超检查肝脾等脏器均无包虫囊肿存在。于1990年3月21日开胸探查,可见右肺下叶实质内有一紫黑色囊性包块,约6×6×7cm,囊内有咖啡色液约25ml。病理检查诊断为右下肺胆固醇性肺炎。
The patient, female, and Han nationality, aged 17, found a 6 × 6 × 7 cm mass in the lower right lung at the beginning of March 1989. The density was uniform and the edge was neat. The shadow of curved calcified cystic wall showed no previous fever, Cough history. With dogs, sheep have close contact history, diagnosis of pulmonary hydatid. On March 14, 1989 admitted. Sports T37.1 ℃, P82 beats / min, R22 beats / min, Bp14.6 / 9.3kPa, no swelling of the superficial lymph nodes, lower right lung respiration decreased, no wet and dry rales, I no positive signs. Hb 12.6g / L, WBC 1.46 × 10 ~ 9 / L. N75%, within the hydatid cyst test, 12 hours after the positive reaction, complement fixation test (+), B ultrasound examination of liver and spleen and other organs were not hydatid cyst exists. On March 21, 1990, exploration of the thoracotomy showed that there was a violet-black cystic mass in the lower right lung lobe, about 6 × 6 × 7 cm, and about 25 ml of brown liquid in the capsule. Pathological examination diagnosed as right lower lung cholesterol pneumonia.