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例1 男,37岁,X 片号:27975。于1969年10月咯血,诊断为Ⅱ(上中下/上°中下),给予 H(雷米封)P(对氨水杨酸钠)S(链霉素)不规则治疗两月。此后病人经常咯血,先后四次入本院。于第二次入院给予HR(利福平)E(乙胺丁醇)规则治疗一年。第三、四次均为痰菌阴性,胸 X 片提示病灶吸收好转或稳定,诊断为陈旧性肺结核并支气管扩张。作支气管造影时,发现左上肺曲菌球。胸 X 片体层检查:左上有7×4.5cm 空洞,其中有5×3cm 结节,可活动。外科手术后病理诊断为左上肺曲菌球。
Example 1 Male, 37 years old, X number: 27975. Hemoptysis in October 1969, diagnosed as Ⅱ (upper / lower middle and upper), given H (Remy closed) P (sodium aminosalicylate) S (streptomycin) irregular treatment for two months. Since then the patient often hemoptysis, four times into our hospital. In the second admission HR (rifampin) E (ethambutol) rule treatment for one year. The third and fourth were sputum negative, chest X-ray showed that the lesion improved or stable absorption, the diagnosis of old tuberculosis and bronchiectasis. For bronchography, pulmonary aspergillosis was found on the left lung. Chest X-ray examination: upper left 7 × 4.5cm hollow, of which 5 × 3cm nodules, activities. Postoperative pathological diagnosis of pulmonary aspergillosis of the left lung.