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矽肺引起肺门淋巴结蛋壳样钙化,国内外资料报道较多,而肺矽合并广泛的纵膈淋巴结钙化和脾脏钙化者少见。我市体检一名回乡务农的石英粉碎作业工人,诊断为矽肺Ⅲ期合并广泛地纵膈淋巴结钙化和脾脏钙化点的病例。 病例简介 陈××,女、42岁,耐火材料厂石英粉碎工,操作场所粉尘浓度为101.4mg/m~8,超标49.7倍,原料含游离二氧化矽98％,接触粉尘工龄3年3个月,因厂停办回乡务农,11年后体检诊断为矽肺Ⅲ期,自觉有胸闷、胸痛、咳嗽,动则气促心悸,肺部听诊有干性,湿性啰音。
Silicosis caused hilar lymph node egg shell-like calcification, domestic and foreign information reported more, and pulmonary silicosis with extensive mediastinal lymph node calcification and splenic calcification are rare. In our city, a worker who returned to farming in rural areas to crumble quartz was diagnosed as having extensive mediastinal lymph node calcification and splenic calcification in stage Ⅲ of silicosis. Case description Chen × ×, female, 42 years old, refractories Quartz crusher workers, the dust concentration of the operating site was 101.4mg / m ~ 8, exceeded 49.7 times, raw materials containing free silicon dioxide 98%, dust contact length of 3 years 3 Month, due to the factory to stop returning home farming, 11 years after the medical examination for silicosis Ⅲ, conscious chest tightness, chest pain, cough, moving the gas and promote heart palpitations, lung auscultation of dry, wet rales.