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我院1982年1月—1998年1月确诊为先天性肺囊肿15例,其中10例曾在院内外误诊,现报告如下1、临床资料1·1 一般资料 10例患者中男7例,女3例,年龄20天—7岁,有反复的呼吸道感染病史者7例。1·2 临床表现 发热10例,咳嗽9例,气促紫绀2例,喘鸣2例,咯脓痰1例,咯血1例,肺部呼吸音降低8例,肺部闻及湿罗音6例。1·3 辅助检查 白细胞6.8—24.0×10~9/L,中性0.60—0.80,淋巴0.20—0.40,血沉增高6例为25—60mm/h;胸部X线平片,单个囊肿9例,呈圆形和椭圆形,因继发感染边界不清。多发性囊肿1例,表现为蜂窝状阴影。
Our hospital January 1982-January 1998 was diagnosed as congenital pulmonary cysts in 15 cases, of which 10 cases were misdiagnosed in the hospital, are as follows 1, the clinical data 1.1 General Information 10 patients, 7 males and 7 females 3 cases, aged 20 days -7 years old, there are repeated history of respiratory tract infection in 7 cases. Clinical manifestations of fever in 10 cases, 9 cases of cough, cyanosis cyanosis in 2 cases, 2 cases of wheezing, purulent sputum in 1 case, hemoptysis in 1 case, pulmonary breath sounds decreased in 8 cases, the lungs smell and wet rales 6 example. 1.3 auxiliary examination leukocytes 6.8-24.0 × 10 ~ 9 / L, neutral 0.60-0.80, lymph 0.20-0.40, ESR increased in 6 cases 25-60mm / h; chest X-ray, a single cyst in 9 cases, was Round and oval, unclear border due to secondary infection. One case of multiple cysts, manifested as honeycomb shadows.