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患者男性,54岁,住院号30728。系水电站风钻工,工龄20年,嗜好少量烟酒。1974年诊断为0～1期矽肺;1977年诊断为1期矽肺,x线摄片示右下肺直径1cm的圆形阴影一个,与横膈面相接,性质待定。痰涂片(厚片法)未找到抗酸杆菌;1979年诊断为2期矽肺,右下肺圆形阴影逐见增大,痰涂片结核杆菌(一);1985年右下肺圆形阴影增大为7.5×7.5cm,边缘欠清晰,肺纹理尚可辩认。痰涂片结核杆菌(+),ESR30mm/h,诊断为2期矽肺合并右下肺球形结核灶。住院抗痨治疗。
Patient Male, 54 years old, hospital number 30728. Department of wind power station workers, 20 years of age, a small amount of alcohol and tobacco habit. 1974 was diagnosed as stage 0 ~ 1 silicosis; 1977 was diagnosed as stage 1 silicosis, x-ray shows the right lower lung diameter 1cm circular shadow one, with the diaphragm surface phase, the nature to be determined. Sputum smear (thick piece method) did not find acid-fast bacilli; in 1979 was diagnosed as stage 2 silicosis, the right lower lobe circular shadow by the see increases, sputum smear Mycobacterium tuberculosis (a); 1985 lower right circular lung shadow Increased to 7.5 × 7.5cm, the edge is not clear, the lungs can still be identified. Sputum smear Mycobacterium tuberculosis (+), ESR30mm / h, diagnosed as stage II silicosis with right lower pulmonary tuberculosis. Hospital anti-tuberculosis treatment.