论文部分内容阅读
病人董××,男,12岁,住院号:13867。1986年11月1日入院。主诉:咯血3天,总咯血量约60ml 左右,呈暗红色。阵阵咳嗽,低热。体检:体温37℃,脉搏92次/分,呼吸20次/分,血压110/70mmHg。神志清,呼吸平稳,不发绀,心音纯,节律整,右肺中下部呼吸音减弱,散在少量湿罗音。实验室检查:血,尿常规正常。痰结核菌阴性。结核纯蛋白衍化物(PPD)5单位试验阴性。X 线胸片:示右肺中下部密度增高,边缘模糊之大片状阴影,右心缘模糊不清(见图1),右侧位片:相当于右中叶部位密度
Tung × × patients, male, 12 years old, hospital number: 13867. November 1, 1986 admission. Main complaint: hemoptysis 3 days, total hemoptysis about 60ml, dark red. Bursts of cough, fever. Physical examination: body temperature 37 ℃, pulse 92 beats / min, breathing 20 beats / min, blood pressure 110 / 70mmHg. Consciousness, smooth breathing, no cyanosis, pure heart sounds, rhythm, lower right lung breath sounds weakened, scattered in a small amount of wet rales. Laboratory tests: blood, urine, normal. Mycobacterium tuberculosis negative. Tuberculosis pure protein derivative (PPD) 5 unit test was negative. X-ray: show the lower right middle lung density increased, the edge of the large shadow of fuzzy shadow, right heart margin blurred (see Figure 1), the right bit: equivalent to the right middle part of the density