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男患者,21岁,农民。诉胸闷、气促、活动后加重壹月余,经抗感染治疗无效,诊断为外源性过敏性肺泡炎,于1985年12月7日入院。 体检:T37.5℃、P110次/分,R25次/分,Bp110/80mmHg,两肺可闻及细小湿性罗音(类似捻发音)以左下肺为著。有杵状指、趾。实验室检查,Hb 17.1g%,W BC14400/mm~3,N78%,L18%,E4%,EOS“352”,ESR 2mm/h,OT(1:2000)阴性,粘蛋白1.82mg/d1,IgG 850ng%,IgA155ng%,IgM200ng%; LDH为516单位,
Male patient, 21 years old, farmer. V. Chest tightness, shortness of breath, aggravating more than one month after the event, the treatment of anti-infective invalid, diagnosed as exogenous allergic alveolitis, on December 7, 1985 admission. Physical examination: T37.5 ℃, P110 beats / min, R25 beats / min, Bp110 / 80mmHg, both lungs can be heard and small wet rales (similar to the twist pronunciation) to the left lower lung. With clubbing, toe. Hb 17.1 g%, W BC14400 / mm3, N78%, L18%, E4%, EOS “352”, ESR 2 mm / h, OT (1: 2000) negative, mucin 1.82 mg / d1, IgG 850 ng%, IgA 155 ng%, IgM 200 ng%; LDH 516 units,