论文部分内容阅读
临床资料 患者男性,53岁。1959—1960年任硅铁熔炉机修工、起重工。1961—1971年任硅铁熔炉炉前加料工。有20年吸烟史,无饮酒史。 1971年起,经常出现胸闷、胸痛,并时有咳嗽。在做重体力劳动时出现气急。1976年肝炎复发、纳差、乏力、消瘦,肝区疼痛,体检:肝肋下5cm,肝表面可扪及鸡蛋大小的肿块。观察X线胸片,两肺门不大,右肺门密度增高,两肺纹理紊乱、扭曲、以两肺中、下野为显著。两肺散在2mm左右的小结节阴影,密度低,边缘不清。 1971年诊断为二期矽肺。1972年患肝炎,1977年经同位素扫描确诊为肝癌。于1978年因肝癌死亡。
Clinical data Patient male, 53 years old. 1959-1960 Ferrosilicon furnace mechanic, crane. 1961-1971 served as a ferrosilicon furnace furnace feed workers. 20 years of smoking history, no history of drinking. Since 1971, chest tightness, chest pain and cough often occur. When doing heavy manual labor emergencies. Hepatitis recurrence in 1976, anorexia, fatigue, weight loss, liver pain, physical examination: 5cm under the liver ribs, liver surface palpable egg size of the mass. Observe X-ray, two hilar door is not large, the right lung door density increased, the two lungs were disturbed, distorted to the two lungs, the next field as a significant. Two lung scattered in the small nodules around 2mm shadow, low density, unclear edge. 1971 diagnosis of two stage silicosis. Hepatitis was found in 1972 and liver cancer was diagnosed in 1977 by isotope scan. Died of liver cancer in 1978.