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我院曾见三例吕弗硫氏症候群的患者,当时都误诊或怀疑为肺结核。今将其报导于后,以引起大家注意。[例1]陈某,男性,27岁,文工团员,河北省人。因咳嗽胸痛一周,于1957年2月9日来院透视,发现两侧第一前肋间有斑驳状实质浸润,两侧肺纹增多模糊,当时诊断为浸润型肺结核收入院治疗。以往无咳痰咳血史,有食醉蟹史,爱人患有肺结核,查体除呼吸音稍低外无异常发现。检查经过:进院后2月13日胸部X线照片,发现两肺上部已无阴影,两肺中下部有肺纹增多模糊,且有点状浸润。化验室检查白血球8600,中性69%,酸性12%,嗜酸球直接计数2640个。血沉一小时3毫米。大便蛔虫卵“+”。血丝虫阴性,冷凝集试验阴性。痰浓缩法多次找抗酸杆菌及培养结
In our hospital, we saw three patients with Lüver’s disease syndrome who were both misdiagnosed or suspected of having tuberculosis. This will be reported later, to arouse everyone’s attention. [Example 1] Chen, male, 27 years old, art staff, Hebei Province. Chest pain due to cough for a week, on February 9, 1957 to the hospital and found that both sides of the first intercostal mottled substantive infiltration, increased lung pattern on both sides blurred, was diagnosed with infiltration of tuberculosis hospital treatment. In the past no history of phlegm and blood in the cough, history of eating drunk crab, lover suffering from tuberculosis, physical examination except for lower breath sounds no abnormal findings. Check after: February 13 after admission into the chest X-ray pictures showed that the upper part of the two lungs have no shadow, the lungs in the lower middle part of the increased lung pattern fuzzy, and a bit infiltration. Laboratory tests white blood cells 8600, 69% neutral, 12% acidic, acidophilus direct count 2640. ESR for an hour 3 mm. Stool Ascaris egg “+”. Blood filariasis negative, cold agglutination test negative. Sputum enrichment law repeatedly find acid-fast bacilli and culture knot