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患者,男,34岁,农民。以“低热,周身乏力、盗汗、消瘦两个月,咳嗽,少量痰3天”于1994年12月3日入院。既往身体健康,无明显结核病接触史。查体:KT36.5℃P110次/min,BP20/12kPa。慢性病容,消瘦,神清语明。颈软,视力正常,两肺呼吸音增粗,心脏(-)。X线胸片示:两肺上、中、下野斑片状模糊密度增高阴影。痰结核菌(+++)。入院诊断;亚急性血型播散型肺结核,进展期。
Patient, male, 34 years old, farmer. “Low fever, whole body fatigue, night sweats, weight loss two months, cough, a small amount of phlegm 3 days” on December 3, 1994 admission. Past physical health, no obvious contact history of tuberculosis. Physical examination: KT36.5 ℃ P110 times / min, BP20 / 12kPa. Chronic disease, weight loss, clear language. Neck soft, normal eyesight, two lungs breathing tone thickening, heart (-). X-ray showed: two lungs, the middle and lower field patchy fuzzy density increased shadow. Mycobacterium tuberculosis (+++). Admission diagnosis; subacute blood group disseminated pulmonary tuberculosis, advanced.