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患者,李××,男,38岁,××县邮电局职工。自1971年上半年起经常咳嗽,胸闷,时轻时重。1975年因右肩胛下针刺样痛就诊,拍摄X线胸片,示两肺遍布粒状阴影,痰检(一),似诊“气胸”、“栗粒性肺结核”,进行抗痨对症治疗。气胸已愈,但胸片上未见好转。随后又被诊为“肺吸虫”、“肺嗜酸性细胞增多症”及肺结核,多次治疗,始终无效。后经多次追询职业史,知曾于1969年下半年在部队开凿过坑道二个月,余无其它粉尘接触史,于是经安徽省矽肺诊断组确诊为Ⅱ期矽肺。 本例患者接触矽尘二个月,脱离矽尘作业
Patient, Lee × ×, male, 38 years old, County Post Office staff. Since the first half of 1971, often cough, chest tightness, when light weight. 1975 because of the right sub-subscapular acupuncture treatment of pain, shooting X-ray, showed two lungs scattered around the granular shadow, sputum examination (a), a diagnosis of “pneumothorax”, “chestnut grain tuberculosis” for anti-tuberculosis symptomatic treatment. Pneumothorax has been more, but no improvement in chest X-ray. Later was diagnosed as “paragonimiasis”, “pulmonary eosinophilia” and tuberculosis, multiple treatment, and always invalid. After repeatedly chasing the occupational history, I knew in the second half of 1969 in the army dug the tunnel for two months, I no other dust exposure history, so by the Anhui province silicosis diagnosis group diagnosed as stage II silicosis. In this case, patients exposed to silica dust for two months, from the work of silica dust