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病历摘要患者男性,23岁。咯血11月,胸腹痛2月于1988年1月5日入院。患者于入院前11月始有血痰,无发热及其它不适。3月后摄胸片示肺纹理增多,痰培养(一),痰找结核菌(一),曾给以抗感染、止血治疗无好转。发病6个月胸片示两中、下肺野散在多个小结节状阴影,右下肺野有团状影。支纤镜病检为炎症改变。查血沉、血器正常范围,OT试验1:2000阴性,痰培养(一)。给青霉素、氨苄青霉素抗炎治疗2周。转省医院。住院痰找TB菌8次(一),支纤镜(一),以利福平,异烟肼、卡那霉素抗痨治疗月余,仍咯血不止,
Medical record summary Patient male, 23 years old. Hemoptysis in November, chest and abdominal pain was admitted to hospital on January 5, 1988. The patient had bloody sputum in November before admission, no fever and other discomfort. After 3 months, chest radiographs showed an increase in lung texture, sputum culture (1), and sputum finding TB bacteria (1). There was no improvement in anti-infection and hemostasis treatment. Six months after the onset of chest radiographs, there were multiple nodular shadows in the middle and lower lung fields, and a cluster of shadows in the right lower lung field. Fiberoptic disease is a change in inflammation. Check blood sediment, blood vessels normal range, OT test 1:2000 negative, sputum culture (a). Anti-inflammatory treatment for penicillin and ampicillin for 2 weeks. Transfer to provincial hospitals. TB bacteria were found 8 times in hospitalization (1), support fiber mirror (1), rifampicin, isoniazid, and kanamycin were used for more than a month to treat hemorrhage, and hemoptysis was still present.