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例1 女,43岁,反复持续性干咳3月加重一周住院.无结核病史.查体:右肺下背部闻及少量干鸣音.胸片示右肺门偏下见多数钙化灶伴有三角形致密影.CT 示:支气管内结石嵌在管壁上突入管腔内.纤支镜检发现右肺中间段管壁见有绿豆大的突出肿物,取活检时患者剧烈咳嗽,咯出一块0.3×0.5cm 之硬性物,为钙化结石.活检报告为慢性炎症改变.确诊为支气管结石,转外科手术取出黄白色结石7块,约黄豆至绿豆大,多为不规则形.化验为以磷酸钙为核心,夹有少许结缔组织及粘液.术后发现尚有一块在管腔内上下移动,经纤支镜取出,现已痊愈.例2 女,48岁,反复咳嗽、咯血二年余于1986年11月就诊.胸片示左肺门偏上见一豆大钙化灶,由肺门沿上纵隔向上见一条索状致密影,曾诊为肺结核,但数次痰结核菌阴性,行纤支镜检前咯
Case 1 female, 43 years old, repeated persistent dry cough March aggravate a week of hospitalization .No history of tuberculosis .Check the body: the right lung lower back smell and a small amount of dry siren .Sixthis showed the right hilar inferior to the majority of calcifications with triangular dense CT: bronchial stones embedded in the tube wall into the lumen.Fiberoscopy found that the middle part of the right lung wall with mung bean prominent large tumor, take the patient when the biopsy violent cough, out of a 0.3 × 0.5cm of hard material for the calcification of stones biopsy reported chronic inflammatory changes diagnosed as bronchial stones transferred to surgical removal of yellowish white stones 7, about soybeans to mung beans large, mostly irregular shape test for calcium phosphate as Core, with a small amount of connective tissue and mucus.After surgery there is still a piece in the lumen up and down movement, bronchoscopy removed, now healed .2 female, 48 years old, repeated cough, hemoptysis more than two years in 1986 Visits in November, chest X-ray showed the left hilar partial to see a big beans calcification, the hilar from the mediastinum up to see a cord-like dense shadow, has been diagnosed as tuberculosis, but several sputum TB, negative, bronchoscopy Check slightly before