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矽肺是最常见的职业病,典型进展的矽肺通过X线拍片检查容易诊断。如果病变进展不典型或合并其他疾病,X线表现不典型,容易发生误诊或漏诊。本院从1984年以来普查矽肺的病例,发现2例长期误诊为结核的病例,认为有教益可取,现报告如下.例1,男性,69岁,青岛车辆段工人。28年前有粉尘接触史3年。1986年出现低热,咳嗽、憋气,痰中带血。X线拍胸片示两肺门阴影增大,两肺纹理增多,双上中肺野有片状影并伴有索条状影,诊断为肺结核.经住院治疗,痰菌转阴,但病情未见好转。逐年拍片观察,双侧中上肺野矽肺结节阴影密度增高
Silicosis is the most common occupational disease, and the typical progression of silicosis is easily diagnosed by X-ray film. If the lesion is not typical or associated with other diseases, X-ray atypical, prone to misdiagnosis or missed diagnosis. The hospital census of silicosis cases since 1984 and found 2 cases of long-term misdiagnosis as tuberculosis, that there are lessons desirable, are as follows .Example 1, male, 69 years old, Qingdao depot workers. 28 years ago, dust contact history for 3 years. Low fever in 1986, cough, suffocation, bloody sputum. X-ray chest X-ray showed two hilar shadow increases, two lungs increased texture, double in the lung field with a patchy shadow and accompanied by cable-like shadow, diagnosed as tuberculosis .After hospital treatment, sputum negative, but the disease No improvement. Film observation year after year, both sides of the upper lung lung nodules shadow density increased