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患者,女,50岁,以反复气短8月之主诉于1996年5月8日入院。8月前不明原因的活动后气短,无咳嗽、咯痰、发热及盗汗。曾在当地医院拍胸片示“两肺下野渗出性病灶”。抗感染治疗2周无效,遂加用地塞米松10mg/d,约2周后症状明显减轻,胸片渗出性病灶大部吸收,后因出现激素副作用而停用,症状及肺部阴影又复出现。在某医院住院拟诊为支气管哮喘治疗2周无好转,后改用正规四联抗痨3月,症状仍无减轻,胸片示“两肺渗出病灶较前增多,且出现点状筛网状阴影”。
Patient, female, 50 years old, with repeated shortness of breath The chief complaint of August was admitted on May 8, 1996. Abrupt shortness of breath after 8 months without cough, expectoration, fever and night sweats. Have taken a chest radiograph at a local hospital showed “two lungs under the field exudative lesions.” Anti-infective treatment 2 weeks invalid, then add dexamethasone 10mg / d, about 2 weeks after the symptoms were significantly reduced, most of the chest X-ray exudative lesions absorbed, due to the emergence of side effects of hormones and disabled, the symptoms and lung shadow again appear. Hospitalized in a hospital diagnosed as bronchial asthma treatment for 2 weeks without improvement, after the switch to the regular quadruple anti-痨 March, the symptoms still did not reduce the chest radiograph showed “two lung exudation lesions increased compared to the previous, and there was a dot-like screen Shaded ”.