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早期结节病合并气胸罕见,作者报告1例早期结节病同时发生双侧自发性气胸。患者男,42岁,1975年在一次常规内科检查时发现高血压,血压170/110mmHg,临床检查包括胸片检查正常。应用利尿药和β-阻滞剂后血压正常。1979年7月运动时出现气短,血压120/80mmHg,双肺底有捻发音,余无异常。胸片示心脏中等度增大,双肺门淋巴结肿大,双侧肺野中、下部可见网状-结节浸润。Kveim试验病理活检可见典型非干酪样肉芽肿,诊断为结节病。应用强的松龙20mg/d,1个月后症
Early sarcoidosis with pneumothorax rare, the authors report 1 case of early sarcoidosis concurrent spontaneous bilateral pneumothorax. The patient, male, 42 years old, developed hypertension at a routine medical examination in 1975 with a blood pressure of 170/110 mm Hg. Clinical tests included a normal chest radiograph. Blood pressure was normal after diuretics and β-blockers were applied. July 1979 shortness of breath during exercise, blood pressure 120 / 80mmHg, double lungs have a twist at the end, I was no exception. Chest X-ray showed moderate increase in the heart, double hilar lymph nodes, bilateral lung field, the lower visible mesh - nodular infiltration. Kveim test pathology biopsy showed typical non-caseous granuloma, diagnosis of sarcoidosis. Application of prednisolone 20mg / d, 1 month after the disease