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临床上因肺内异物导致反复咳嗽、咳痰、咯血而长期误诊病例较少见,我院曾收治1例。患者,男,40岁,1989年4月16日因低热,咳嗽、咳痰26天、大咯血2小时以①肺结核Ⅲ上/(1)涂(-)进展期②咯血③肺部感染急诊收入我院传染科。体查:T38.1℃ P100次/分 Bp90/50mmHg(12/7.25kpB),心、腹无异常。入院时胸片可见右上肺第2前肋以上大片致密模糊影,密度均匀,余肺清晰。入院后给予正规“三联”抗结核治疗,辅助抗炎,支持治疗,症状无好转。反复多次晨痰找结核菌均为阴性。多次复查胸片均为右上肺
The cases of long-term misdiagnosis due to repeated cough, sputum, and hemoptysis due to foreign body in the lung are rare, and one case has been treated in our hospital. Patient, male, 40 years old, April 16, 1989 due to low fever, cough, sputum for 26 days, 2 hours of massive hemoptysis with 1 tuberculosis III upper / (1) (-) advanced stage 2 hemoptysis 3 pulmonary infection emergency income Our hospital infection department. Physical examination: T38.1 °C P100 beats / min Bp90/50mmHg (12/7.25kpB), heart, abdomen without exception. When the chest X-ray film was taken into the hospital, there were dense shadows over the second frontal rib of the right upper lung, and the density was even and the remaining lungs were clear. After admission, he was given regular “triple” anti-tuberculosis treatment, assisted with anti-inflammatory and supportive treatment, and his symptoms did not improve. Repeatedly many times to find TB bacilli are negative. Repeatedly reviewing the chest radiograph is the right upper lung