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患者杨某,男性,34岁。因左眼角膜贯通伤于1994年6月30日在我院治疗20余日。痊愈出院。不久患者又于7月25日因左眼胀痛流泪,伴有偏头痛经门诊以左眼外伤白内障。左眼虹膜睫状体炎,再次入院。每日静点地塞米松10mg,口服量75m。住院40日患者出现咳嗽、痰中带血、左胸痛,伴有全身乏力。给予对症治疗。住院第50日,上述症状突然加重,并伴有呼呼困难。查体:体温:36℃,呼吸30次/分,心脏正常,左肺听诊呼吸音明显减弱。化验室检查:白细胞8.6×10~9/L,分叶80,痰菌(一)。X线检查:9月15日胸片可见左肺以肺门为中心呈大片模糊阴影,密度浓淡不均,心膈正常。
Yang patient, male, 34 years old. Due to left corneal penetrating injury in June 30, 1994 in our hospital for more than 20 days. Healed and discharged. Shortly after the patient again on July 25 due to pain and tears in the left eye, accompanied by migraine headache to the left eye trauma cataracts. Left eye iridocyclitis, re-admission. Daily intravenous dexamethasone 10mg, oral dose of 75m. 40 days of hospitalized patients cough, bloody sputum, left chest pain, accompanied by generalized weakness. Give symptomatic treatment. On the 50th day of hospitalization, the above symptoms suddenly aggravated with difficulty in whirring. Physical examination: body temperature: 36 ℃, breathing 30 beats / min, normal heart, left lung auscultation breath sounds significantly weakened. Laboratory tests: white blood cells 8.6 × 10 ~ 9 / L, leaves 80, sputum bacteria (a). X-ray examination: September 15 chest radiograph shows the left lung to the hilar center was a large shadow of fuzzy shades of uneven density, normal diaphragma.