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在矽肺胸片中常可看到肺门淋巴结环形钙化,这种征象能否作为矽肺诊断指征,国内外都有报导。“1971年国际尘肺X线表现ILO、U/C分类”中以es为代号列入诊断表,并有详细说明。但是有关病理形态和发生机理的探讨资料不多。现将我区于1963年尸检一例的资料报告如下。一、病史和临床一般情况患者王、伪满时被抓劳工、从事开山挖煤共12年,矽尘危害严重。参加革命后渐觉体力不足,1951年起气喘、咳嗽加重,并有喀血,经某医院透视诊断为肺病(结核?),痰抗酸菌阴性,长期抗痨,效果不好,1961年后便长期输氧,曾经两次到广西结核病防治院治疗,痰培养三次、浓缩检查十多次,均未发现抗酸菌。血沉率6～18毫米/小时。
Often visible in the silicosis chest hilar lymph node calcification, this indication can be used as indications of silicosis, both at home and abroad have been reported. “International pneumoconiosis X-ray performance ILO 1971, U / C classification” to es as the code included in the diagnostic form, and a detailed description. However, there is not much information on the pathology and pathogenesis. Now my district autopsy in 1963 a case of information reported below. First, the history and clinical conditions Patient Wang, puppet was arrested when labor, engaged in coal mining for a total of 12 years, the serious threat of silica dust. After graduation, he gradually became unconscious. After 1951, he developed asthma, coughing and blood stasis. After a hospital was diagnosed as lung disease (tuberculosis?), Sputum acid-fast bacilli was negative and long-term anti-tuberculosis was not effective, and after 1961 Long-term oxygen delivery, once twice to Guangxi Tuberculosis Prevention and Treatment Hospital, sputum culture three times, concentrated examination of more than ten times, were found no acid-fast bacilli. ESR rate of 6 to 18 mm / hour.