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患者男性,35岁。反复咳嗽、咳痰3个月,对症治疗效果不佳。查体:体温36.1℃;咽部充血,右肺呼吸音粗,可闻及细小水泡音;左肺呼吸音清。胸部CT示右肺中叶斑片状模糊影,考虑炎症。纤维支气管镜活检病理诊断:支气管黏膜慢性炎症。经正规抗感染治疗后,复查胸部CT,炎症明显吸收。纤维支气管镜下见气管中下段及左总支气管管壁内布满大小不一的黄色附着物。
Male patient, 35 years old. Repeated cough, sputum for 3 months, poor symptomatic treatment. Physical examination: body temperature 36.1 ℃; throat congestion, right lung breath sounds thick, can be heard and small blisters sound; left lung breath sounds clear. Chest CT showed right lobe of the middle of the patchy fuzzy shadow, consider inflammation. Fiberoptic bronchoscopy biopsy pathological diagnosis: bronchial mucosal chronic inflammation. After formal anti-infective treatment, review chest CT, inflammation was significantly absorbed. Fiber bronchoscopy see the middle and lower trachea and the left total bronchus wall covered with yellow attachments of different sizes.