病历摘要患者,张某某,男,48岁,教师,内江市人。因咳嗽2年,痰中带血增多2月,于1980年12月8日入院。患者自1978年开始轻微干咳,偶有白色粘液痰,带少量血丝,无气促、发热和盗汗,未诊治,半年后在某地区医院健康体检,摄片诊断浸润型右上肺结核,经用异菸肼+链霉素治疗,症状一度好转,随访中发现右上肺阴影增大。2月前咳嗽加重,痰中血丝加多,气促, Patient summary, Zhang Moumou, male, 48 years old, teacher, Neijiang city. Due to cough for 2 years, bloody sputum increased in February, on December 8, 1980 admitted. Patients with mild dry cough since 1978, occasional white mucus sputum, with a small amount of bloodshot, non-shortness of breath, fever and night sweats, no diagnosis and treatment, half a year after a healthy examination in a district hospital, radiography diagnosis of infiltration of the right upper pulmonary tuberculosis, Hydrazine + streptomycin treatment, the symptoms were improved, follow-up found in the right upper lung shadow increased. Cough increased 2 months ago, blood stained sputum more, shortness of breath,