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报道:作者对1968—1983年住院的123例Ⅲ期矽肺结核(Ⅲ+T)病人的诊断问题进行了分析。并与单纯Ⅲ期矽肺进行了鉴别诊断。123例均为男性风钻工及撬挖工。Ⅲ+T中,结核包括;空洞型67例,干酪型32例,浸润型18例,其他(纤维局灶、结核球、胸膜炎)6例。临床症状:发烧98例、消瘦103例、虚弱乏力116例、咳嗽119例、气急113例、咯血89例、痰结核菌阳性率58.5％。咯血是Ⅲ+T常见的症状,咯血率为72.4％;而同期住院的63例单纯Ⅲ期矽肺咯血率仅为19.1％,且多为痰中央血丝或血痰,与Ⅲ+T咯血
Report: The authors analyzed the diagnosis of 123 stage III silicosis (III + T) patients hospitalized in 1968-1983. And with simple stage Ⅲ silicosis were diagnosed. 123 cases were male wind drilling and pry digging. Ⅲ + T, tuberculosis included: 67 cases of cavity type, 32 cases of cheese type, 18 cases of infiltration type and 6 cases of others (focal fibrosis, tuberculous pleurisy). Clinical symptoms: fever in 98 cases, 103 cases of wasting, weak weakness in 116 cases, 119 cases of cough, shortness of breath in 113 cases, 89 cases of hemoptysis, sputum TB positive rate of 58.5%. Hemoptysis was a common symptom of Ⅲ + T, and the rate of hemoptysis was 72.4%. In the same period, only 63.1% of the patients with simple phase Ⅲ silicosis were hospitalized, and most of them were sputum central blood stained or bloody sputum, and Ⅲ +