1　病例报告女 ,49岁。因反复出现咳嗽、气促 ,咳嗽无口痰 10 a。 0 .5 a前病情加重 ,经 X线胸片摄片 ,诊断为粟粒性肺结核浸润型 ,右胸肋膈角胸膜增厚 ,左中下肺支气管扩张不能除外。在院外按肺结核治疗 0 .5 a,无效。查体 :T37.6℃ ,P10 8次 /min,R2 5次 /min,BP15 /9.5 k Pa 1 case report female, 49 years old. Due to recurrent cough, shortness of breath, no cough for 10 a. Before 0.5 years, his condition was aggravated. After X-ray examination, it was diagnosed as infiltration of miliary tuberculosis. The pleural thickening of the right thoracic rib angle was not allowed in the left middle-lower lung bronchiectasis. In the hospital outside the tuberculosis treatment 0. 5 a, invalid. Physical examination: T37.6°C, P10 8 times/min, R2 5 times/min, BP15/9.5 k Pa