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病例摘要患者,女,45岁,住院号4441。于1987年4月开始发热,体温在38℃左右,咳少量粘痰。在某医院X线胸片示“两下肺片状淡阴影”诊为“肺炎”,用青霉素等抗生素治疗,体温降至37℃。出现上楼气急,呼吸困难。多次X线胸片示两肺阴影无吸收,而且密度渐增高。曾疑诊“结核”用异烟肼、利福平、链霉素治疗半年,无效。病人仍有轻咳、乏力、低热、呼吸困难。X线胸片示两肺中下部弥温性大片状模糊影,1988年4月25日转来本院。检查:T38℃,BP110/70mmHg,R22次/分,无贫血,心脏正常。两下肺散在的小水泡普及捻发音。四肢轻度杵状指(趾)。血红蛋白
Case summary The patient, female, 45 years old, hospital number 4441. In April 1987 began fever, body temperature around 38 ℃, cough a small amount of phlegm. In a hospital X-ray showed “two lung light shade” diagnosis as “pneumonia”, with antibiotics such as penicillin, body temperature dropped to 37 ℃. Upstairs angry, breathing difficulties. Multiple X-ray showed no shadow of the two lungs, and the density gradually increased. Have been suspected of “tuberculosis” with isoniazid, rifampicin, streptomycin for six months, invalid. Patients still have mild cough, fatigue, fever, difficulty breathing. X-ray showed the lower middle of the two lungs warm large flaky shadow, transferred to our hospital on April 25, 1988. Check: T38 ℃, BP110 / 70mmHg, R22 times / min, no anemia, normal heart. Spread two lungs in the spread of small bursts of speech. Mild clubbing clubbing (toe). Hemoglobin