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患者牛某,男性,60岁,矿工。患者有长期慢性咳嗽史已5、6年,曾因咯血痰,于1962年7月2日第一次住本院內科。当时胸部X綫摄片检查結果为左上肺纤維性病变,可能为結核性病灶。曾反复多次检查痰结核杆菌,均为阴性。临床診断为肺結核。經鏈霉素、异菸肼及对氨柳酸等抗癆药物治疗40天后,病情好轉出院。继續在門診应用异菸肼及对氨柳酸治疗,然患者的咳嗽及咯血症状仍不断出現。1963年8月22日因咯血痰又加剧,再次进行胸部X綫摄片,結果为左上肺斑片状病变,結核或不典型肺癌均需考虑,左肺舌叶不
Patient Niu Mou, male, 60 years old, miner. Patients have a long history of chronic cough 5,6 years, had had hemoptysis sputum, July 2, 1962 first hospital internal medicine. At that time, chest X-ray examination results for the left upper pulmonary fibrosis, may be tuberculous lesions. Has repeatedly checked sputum Mycobacterium tuberculosis, were negative. Clinical diagnosis of tuberculosis. After streptomycin, isoniazid and anti-tuberculosis drugs such as salicylic acid treatment for 40 days, the condition improved and discharged. Continue to apply isoniazid in the clinic and the treatment of salicylic acid, but the patient’s cough and hemoptysis symptoms continue to appear. August 22, 1963 because of hemoptysis sputum aggravated again chest X-ray, the result of the upper left lung patchy lesions, tuberculosis or atypical lung cancer are considered, the left lung tongue is not