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1 病例报告 例1,男性,67岁,以咳嗽、咳痰1个月为主诉于1994年10月13日入院。无发热、盗汗、咯血,无胸痛、气喘。院外曾接受抗生素治疗无效。入院体检无重要体征发现。辅助检查:血常规WBC5.6×10~9/L,中性分叶70％,淋巴28％,大单核2％,血红蛋白92g/L,血小板265×10~9/L。痰找抗酸菌阴性。血钙2.2mmol/L,血浆白蛋白40g/L,球蛋白22g/L,IgG760ng/dl,IgA120ng/dl,IgM202ng/dl,C_3140ng/dl。PPD(5Iu)试验阴性,胸片示双肺弥漫性小结节影,肺门及纵隔淋巴结无肿大。TBLB病理报告:肺部非干酪样肉芽肿,不伴嗜酸细胞浸润。
1 Case Report Example 1, male, 67 years old, with cough, sputum for 1 month as the chief complaint was admitted on October 13, 1994. No fever, night sweats, hemoptysis, no chest pain, asthma. Antibiotic treatment has been invalid outside the hospital. Admission medical examination found no important signs. Auxiliary examination: blood WBC5.6 × 10 ~ 9 / L, neutral leaves 70%, lymphatic 28%, large mononuclear 2%, hemoglobin 92g / L, platelets 265 × 10 ~ 9 / L. Phlegm looking acid-negative bacteria. Blood calcium 2.2mmol / L, plasma albumin 40g / L, globulin 22g / L, IgG760ng / dl, IgA120ng / dl, IgM202ng / dl, C_3140ng / dl. PPD (5Iu) test negative chest X-ray showed diffuse small nodules, hilar and mediastinal lymph nodes without swelling. Pathology report of TBLB: Non-caseous granuloma in the lungs with no eosinophil infiltration.