论文部分内容阅读
病例一上海市肺科医院结核科提供患者,男,36岁,上海人,门卫。因咳嗽、咯痰5个月于2002年1月21日入院。患者二年前因咳嗽摄胸片示双侧上中肺野斑点状浸润阴影,当时诊断为“肺结核”,查痰抗酸杆菌(-),经2HREZ/4HR抗结核治疗半年,自觉症状改善,复查胸片示两肺病灶稳定而停药。入院前5月出现反复咳嗽、咯少量白痰,无痰血及发热、盗汗、乏力、消瘦等症状,未予重视。二周前因复查胸片发现两肺病灶明显增多,为进一步诊治而入院。起病以来精神胃纳可,体重无明显减轻。 既往体健,无烟酒嗜好,无家族遗传性疾病。 体检:一般情况好,无明显阳性体征。
Case 1 Shanghai Pulmonary Hospital TB Department to provide patients, male, 36 years old, Shanghai, guard. Due to cough, sputum for 5 months on January 21, 2002 admission. Patients two years ago because of cough radiograph showed bilateral lung membrane spot infiltration of shadow, was diagnosed as “tuberculosis”, check sputum acid-fast bacilli (-), 2HREZ / 4HR anti-TB treatment for six months, improved symptoms, Review chest X-ray showed stable lung lesions and withdrawal. May be repeated before admission cough, a slight amount of white sputum, no sputum blood and fever, night sweats, fatigue, weight loss and other symptoms, no attention. Two weeks ago due to review the chest X-ray showed two lung lesions increased significantly, for further diagnosis and admission. Since the onset of mental appetite can be, no significant weight loss. Past physical health, non-alcoholic drinks and tobacco hobby, no family hereditary diseases. Physical examination: the general situation is good, no significant positive signs.