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沈××,男,49岁,勤杂工,因患矽肺Ⅰ期1年余住院治疗,住院号13076。入院查体:神志清,自动体位,查体合作。T:36℃,P:68次/分,R:18次/分,BP:140mmHg。头颅五官正常;心率:68次/分,律整,心音有力;两肺呼吸音粗,呼吸动度均匀;腹部:软、肝脾未触及;其它系统检查未见异常。X光胸部平片显示:两肺野纹理增强,肺门增大,两肺中下段可见细小网影及散在的矽结节。
Shen × ×, male, 49 years old, handyman, suffering from silicosis stage I more than 1 year hospital treatment, hospital number 13076. Admission examination: conscious, automatic position, physical examination. T: 36 ° C, P: 68 beats / min, R: 18 beats / min, BP: 140 mmHg. Head and facial features are normal; heart rate: 68 beats / min, the whole law, strong heart sounds; coarse breath sounds in both lungs and uniform breathing; abdomen: soft, liver and spleen not touched; X-ray chest plain film shows: enhanced lung field texture, hilar enlargement, visible in both lungs in the small network shadow and scattered silicon nodules.