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矽肺合并中叶不张临床报道甚少,且有误诊为肿瘤而手术切除的,我所收治一例,现报道如下: 黄某,男性,54岁,食堂工人。曾于1965年4月～1966年2月在部队任坑道工(风钻手)3年,1975年元月～1978年8月小煤窑采煤3年,近6年来,每年秋、冬季节咯血1～2次,每次量约50～200ml,曾在当地医院按支扩治疗,疗效欠佳。近年来咳嗽加重,两侧胸部时有针刺样疼痛,职业病体检发现右肺心缘部有一块影,于同年9月5日入院。体检;T36℃,P68次/min,R18次/min,BP18.8/12.2kPa。神清,发育营养较佳,呼吸平稳,心脏听诊(一);两肺呼吸音粗糙,右肺前中内侧可闻及少许湿罗音,余无明显异常。实验室检验:WBC7.95×10~9/L,N0.65,L0.33,M0.02,Hb120g/L,ESR1mm/h;尿、便常
Silicosis with atelectasis in the middle few clinical reports, and misdiagnosed as tumor and surgical resection, I received a case, are reported as follows: Hwang, male, 54 years old, canteen workers. In April 1965 to February 1966 in the army as a tunnel engineer (Air Drill) 3 years, January 1975 ~ August 1978 small coal mines coal for 3 years, the past 6 years, annual autumn and winter hemoptysis 1 ~ 2 times, each about 50 ~ 200ml, once in the local hospital by expansion therapy, poor efficacy. In recent years, increased cough, acupuncture on both sides of the chest when the pain, occupational disease physical examination revealed a shadow of the right lung rim, in the same year on September 5 admission. Physical examination; T36 ℃, P68 times / min, R18 times / min, BP18.8/12.2kPa. God clear development of better nutrition, stable breathing, auscultation of the heart (a); rough breath sounds of both lungs, the middle of the right lung can be heard before and a little wet rales, I was no obvious abnormalities. Laboratory tests: WBC7.95 × 10 ~ 9 / L, N0.65, L0.33, M0.02, Hb120g / L, ESR1mm / h;