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例1 女,6岁。因反复咳嗽,发热4月,咯血1月入院。无异物吸入史。体检:轻度贫血貌,胸廓对称,左下肺闻及少量湿罗音。实验室检查:Hb82g/L,WBC9.8×10~9/L,N0.68,L0.32。OT1:200072小时(一),痰找结核杆菌2次(一),含铁血黄素3次(一)。胸片示左下肺炎。胸部CT:左下肺有25×28mm软组织增生块,内有小空泡,拟肺隔离症,乃转儿外,术中见左下肺后基底段有一乒乓球大小的硬块,行肺段切除。镜检见肺泡中有大量胆固醇结晶的巨噬细胞。病理诊断:胆固醇肺炎。
Example 1 female, 6 years old. Due to repeated cough, fever in April, admitted to hospital in January hemoptysis. No foreign body history of inhalation. Physical examination: mild anemia appearance, symmetrical thorax, lower left lung smell a small amount of wet rales. Laboratory tests: Hb82g / L, WBC9.8 × 10 ~ 9 / L, N0.68, L0.32. OT1: 200072 hours (a), sputum to find Mycobacterium tuberculosis 2 times (a), hemosiderin 3 times (a). Chest radiograph showed left lower pneumonia. Chest CT: The left lower lung has 25 × 28mm soft tissue hyperplasia block, there are small vacuoles, pulmonary pseudo-pulmonary sequestration, is transferred children outside the surgery, see the bottom left lung basement has a small piece of pingpong size, line segmentectomy. Microscopic examination revealed a large number of alveolar cholesterol crystals of macrophages. Pathological diagnosis: cholesterol pneumonia.