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本文报道一例临床误诊的矽肺合并结核病例,并对其病理诊断进行简要讨论。病例介绍付××,男,47岁,农工。因常年咳嗽、咳痰而丧失劳动能力。病重期间去某医院X线诊断肺结核。不久因大咯血经治疗无效死亡。详查职业史,该患者1948～1954年曾在某金矿井下当推车工。剖检所见:右胸腔闭锁,胸膜粘连肥厚难于剥离。左胸腔纤维质性粘连,剥离后肺表面呈灰黑色,
This article reports a case of clinical misdiagnosis of silicosis cases of tuberculosis, and the pathological diagnosis of a brief discussion. Case presentation Fu × ×, male, 47 years old, agricultural workers. Due to perennial cough, expectoration and loss of ability to work. During a serious illness to a hospital X-ray diagnosis of tuberculosis. Not long after due to massive hemoptysis died of treatment. A detailed investigation of occupational history, the patient 1948 ~ 1954 was a gold mine when the trolley workers. Autopsy findings: right chest atresia, pleural adhesions hypertrophy difficult to peel. Left thoracic fibrosis, peeled gray surface after the lungs,