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患者,男63岁,接尘工龄21年,该患于1986年11月经局劳鉴定诊为1期矽肺,1989年11月复查,诊断为1期矽肺合并肺结核。经抗结核规律化疗12个月后,病情明显好转,病灶吸收硬化而出院休养。1995年患者自觉咳嗽咳痰加重,有时痰中带血,于1995年4月20日以矽肺合并肺结核在局职工医院治疗。查体:T38.8℃,R20次/分,P88次/分,BP146/80mmHg,两肺呼吸间明显减弱,两肺中上
The patient, male, aged 63 years old, took the lead for 21 years. The patient was diagnosed as Silicosis Stage 1 in November 1986 and reviewed in November 1989 to diagnose stage 1 silicosis with tuberculosis. The anti-TB regular chemotherapy after 12 months, the condition was significantly improved, the lesion absorbs sclerosis and discharged from hospital. In 1995, patients with conscious cough expectoration increased, and sometimes bloody sputum, in April 20, 1995 with silicosis and pulmonary tuberculosis in Bureau workers hospital treatment. Examination: T38.8 ℃, R20 beats / min, P88 beats / min, BP146 / 80mmHg, significantly reduced between the two lungs breath, lungs in the upper