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本文报导了一例曾经从事接触石棉的王作四年(从16岁到20岁)的女性病人,在32年后出现痰多和咳嗽,被作为慢性支气管炎治疗处理。次年出现胸腹水,日渐加重,体重进行性下降,以恶病质收入住院。渗出液中检出异型细胞,该细胞示胶质铁染色试验阳性以及玻尿酸酵素消化试验阳性,从而诊断为间皮瘤,痰中发现有一定数量的石棉小体。病人于诊断为间皮瘤后一年死亡,尸解证实为棉石肺和间皮瘤,后者转移到原发灶周围胸膜,心包膜囊、横隔、腹膜以及胰脏。此外,还发现位十左下肺叶的支气管肺泡上皮细胞型肺癌。电子衍射表明肺内所含有的石棉纤维为铁石棉。
This article reports on a case of a female patient who had been involved in asbestos-making Wang Zuo for four years (from 16 to 20 years of age). Chronic sputum and cough occurred 32 years later and were treated as chronic bronchitis. The following year pleural effusion, increasing, progressive weight loss to cachexia income hospitalization. Exudates detected in the abnormal cells, the cells showed the gel iron staining and positive hyaluronidase digestion test, which diagnosed as mesothelioma, sputum found in a certain number of asbestos bodies. One year after the diagnosis of mesothelioma patients died of autopsy confirmed pulmonary fibrosis and mesothelioma, the latter transferred to the primary pleural pleura, pericardial sac, diaphragm, peritoneum and pancreas. In addition, bronchial alveolar epithelial lung cancer was found in the lower left lobe of the tenth place. Electron diffraction showed that asbestos fibers in the lungs were asbestos.