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急性弥漫性肺间质纤维化比较少见,本文报告经病理证实的一例,供参考。男性,59岁,住院号62292。因发烧,咳嗽,进行性呼吸困难月余,于1983年2月2日急诊入院。患者83年1月初即间断发热,体温在37.5~38℃之间,伴咳嗽、气短、咯少量白痰,无胸痛及咯血。在医务室给予抗感染对症治疗无效,1983年1月24日来我院门诊,胸透于右肺下可见边缘模糊之片状阴影,诊为右下肺炎。肌注庆大霉素,口服四环素无效。1月29日再来门诊、胸片于右肺中下及左下可见结节状融合成大片状之阴影。
Acute diffuse pulmonary fibrosis is relatively rare, the paper reported by pathology confirmed an example for reference. Male, 59 years old, hospital number 62292. Due to fever, cough, progressive dyspnea more than a month, in February 2, 1983 emergency admission. Patients in early January 83 that intermittent fever, body temperature between 37.5 ~ 38 ℃, with cough, shortness of breath, slightly less white sputum, no chest pain and hemoptysis. In the clinic to give anti-infective symptomatic treatment is invalid, January 24, 1983 came to our hospital, thoracic visible in the right lung fuzzy edge of the shadow of the shadow, diagnosed as lower right pneumonia. Intramuscular injection of gentamicin, oral tetracycline is invalid. January 29 again out of the clinic, chest and right lower lung and lower left visible nodular fusion into a large flake shadow.