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患者女性,28岁。于1979年9月14日因突然咯血200ml伴胸闷气急入院,既往身体健康,无慢性咳嗽、咳痰及咯血史。胸部检查右肺呼吸音减弱。X线胸片示:右下肺纹理模糊,呈小片状改变。做肺断层摄片右下叶背段可见3.5×4.5cm片状阴影,中心见有多个小透光区。纤支镜检查发现右下叶背段支气管开口粘膜充血水肿。痰涂片多次找到结核杆菌。入院后
Patient female, 28 years old. On September 14, 1979 due to sudden hemoptysis 200ml chest tightness and acute hospitalization, previous good health, no chronic cough, sputum and hemoptysis history. Chest examination right lung breath sounds weakened. X-ray showed: lower right lungs fuzzy texture, showed a small change in shape. Pulmonary tomography to be seen in the right lower lobe of the back visible 3.5 × 4.5cm flaky shadows, the center see a number of small translucent zone. Bronchoscopy found the right lower lobe of the back of the bronchial mucosa congestion and edema. Sputum smear many times to find Mycobacterium tuberculosis. After admission