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男患者,78岁,住院号12727。因胸闷、胸痛、咳嗽、喘40余天,近日加重,于1980年11月10日入院。于1970年发现有肺结核,经抗结核治疗病情好转。1981年9月以来自觉胸闷、胸疼、咳嗽、喘,但不发烧、不咯血。检查:体温36.8℃,脉搏76次/分,血压120/80毫米汞柱。面色灰暗,呈慢性消耗病容,双肺呼吸音减弱,心脏正常,肝脾未及。神经系统均未见异常。X线所见,气管右移,双肺以左肺为主上中下均散存浓密斑点状阴影,肺纹粗乱,左肺近胸壁处有数个椭圆形密度增高阴影,双膈肌下降。痰结核
Male patient, 78 years old, hospital number 12727. Due to chest tightness, chest pain, cough, more than 40 days of asthma, recently aggravated, in November 10, 1980 admitted. In 1970 found that tuberculosis, anti-TB treatment improved. Since September 1981 feel chest tightness, chest pain, cough, asthma, but no fever, no hemoptysis. Check: body temperature 36.8 ℃, pulse 76 beats / min, blood pressure 120/80 mm Hg. Dark complexion, was chronic consumption of sick, lung breath sounds weakened, the heart is normal, liver and spleen not yet. Nervous system were normal. X-ray findings, the right trachea, the lungs to the left lung are mainly scattered on the upper and lower are dense spots speckled shadow, lung pattern rough chaos, left lung near the chest wall at several oval density increased shadow, double diaphragm decreased. Sputum tuberculosis