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患者女,37岁.1987年来周身无力,后背酸疼,食欲下降,时有微热反复咳嗽,少许白痰,双肺听诊正常。胸透见右肺中叶大片状阴影,初诊右肺感染。给予消炎治疗二同,咳嗽减轻,停药.1988年1月受凉后出现痉挛性咳嗽,10余次/日,无痰.青霉素静点一周病情不好,改用红霉素静点一周,痉咳仍不止.胸片及断层于右肺中叶背段可见两球形病灶,边缘欠佳,诊断肺结核.用一线三联抗痨药治疗一个月,痉咳不止。再拍胸片见右肺两球形影未缩小,右肺门影增大.07试验;血沉20mmH_2O/平均值;T_3T_4值正常.~(131)Ⅰ吸附率正常,肝功及肝、脾、胰腺、子宫“B”超声正常。胸部CT:右肺下叶背段见两球形
Female patient, aged 37. In 1987 to the whole body weakness, back ache, loss of appetite, sometimes fever, repeated cough, a little white sputum, lung auscultation normal. Thoracic see the middle of the right lobe of large shadow, newly diagnosed right lung infection. Given the same anti-inflammatory treatment, relieve cough, withdrawal .1988 in January after the emergence of spasmodic cough, more than 10 times / day, no sputum. Penicillin stationary week week in poor condition, use erythromycin static point for a week, spasm Cough still more than chest X-ray and tomography in the middle of the right lobe can be seen in the two spherical lesions, poor margins, diagnosis of tuberculosis .Triple anti-tuberculosis drug treatment for a month, spasm more than cough. And then take the chest radiograph to see the right lung two spherical shadow is not reduced, the right hilum shadow increased .07 test; ESR 20mmH_2O / average; T_3T_4 value normal. (131) Ⅰ adsorption rate normal, liver function and liver, spleen, pancreas , Uterus “B” ultrasound is normal. Chest CT: right lower lobe of the back see two spherical