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例1:女性:45岁,病案号7942,持续性咳嗽,痰中带血5年,进行性消瘦半年,胸片示:右上肺叶不张,其下缘呈轻度反“S”征,肺门处密度略低,故多次诊断为肺癌并给予治疗。入院查体:T38℃,R28次/分,消瘦,全身表浅淋巴结未触及,右上肺叩浊音,呼吸音减弱,纤维支气管镜检查:全气管、右主支气管及右侧各叶支气管粘膜出现较密集的、孤立的灰白色病灶,周边呈颗粒状增生,触之易出血,右上叶管口有灰白色肉芽组织阻塞,病理:支气管内膜结核。经规范抗结核治疗并随访三年,症状消失X线胸片提示右上叶肺不张。 例2:男性,29岁,病案号0481 咳嗽,痰中带血两
Case 1: Female: 45 years old, case number 7942, persistent cough, bloody sputum for 5 years, progressive emaciation for half a year, chest radiograph showed: right upper lobe atelectasis, its lower edge was mild anti-S symptoms Door density is slightly lower, so many times diagnosed as lung cancer and given treatment. Admission examination: T38 ℃, R28 beats / min, weight loss, systemic superficial lymph nodes not touched, right upper lung tap dullness, decreased breath sounds, bronchoscopy: the whole trachea, the right main bronchus and the right bronchi mucosa compared with the more Intensive, isolated gray lesions around the granular proliferation, exposure to bleeding, right upper lobe orifice with gray granulation tissue obstruction, pathology: endobronchial tuberculosis. After the standard anti-TB treatment and follow-up of three years, the symptoms disappear X-ray showed right upper lobe atelectasis. Example 2: Male, 29 years old, case number 0481 Cough, bloody sputum Two