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患者,×××,男,65岁.住院号:214429.因“进行性呼吸困难一月余.”于1987年7月23日收入我院.患者入院前一月余因受凉引起发烧、咳嗽,咯黄色浓痰,伴气短.诊为:上呼吸道感染.3天前,无明显诱因,气短再次加重.复查胸片疑诊为:“细支气管肺癌(广泛型),于7月23日转我院.入院检查:极度消瘦,平卧,紫绀明显,无颈静脉怒张.右肺肝界抬高,(于右锁中线第五肋间),双肺偶闻湿罗音.心浊音界稍小.肝脾未及.杵状指不明显,双下肢无浮肿.实验室检查:ESR:35mm,mse:9200/mm,r—球蛋白:23.血气分析:Paco_2:59.5 mmHg,Pao_2:57.2mmHg,Sao_2:88.1%。胸片:“两肺间质性肺炎,双上肺陈旧性肺结核。”入院后给予呼吸末正压给氧,抗生素及止咳平喘药,症状稍好转,改为持续低流量吸氧.初诊:“肌性肺硬化,陈旧性肺结核。”之后,给予激素,辅以利福平防止结核复发.住院期间多次痰找结核菌及癌细胞,均未
The patient, × × ×, male, 65 years old. Hospital number: 2144429. Because “Progressive dyspnea more than a month.” Income in July 23, 1987 in our hospital.Patients admitted to hospital one month before due to cold caused by fever, cough , Slightly yellow phlegm, with shortness of breath .Consideration: upper respiratory tract infection .3 days ago, no obvious incentive, shortness of breath again .Diagnostic chest X-ray suspicious as: “bronchioloalveolar carcinoma (extensive type), on July 23 turn Our hospital. Admission examination: extremely thin, supine, cyanosis obvious, no jugular vein engorgement. Right lung and liver elevation, (in the right lock midline fifth intercostal space), lungs even smell wet rales. Small. Liver and spleen without. Clubbing is not obvious, no swelling of both lower extremities. Laboratory tests: ESR: 35mm, mse: 9200 / mm, r- globulin: 23. Blood gas analysis: Paco_2: 59.5 mmHg, Pao_2: 57.2 mmHg, Sao_2: 88.1%. X-ray: ”Interstitial pneumonia in both lungs, double lungs old tuberculosis. “After admission to give positive respiratory pressure to oxygen, antibiotics and cough and asthma drugs, the symptoms slightly better, continue to low flow oxygen.” New diagnosis: "Muscular pulmonary sclerosis, old tuberculosis. After giving hormones, supplemented with rifampicin to prevent the recurrence of tuberculosis.Many sputum during hospitalization to find TB and cancer cells, none