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例1:男,29岁。因咽干、声音嘶哑2月入院。患者2个月前感咽干,不痛,后出现声音嘶哑伴咽喉部持续性疼痛;不发热、不咳嗽,也无乏力及盗汗。患者病后曾多次就诊于当地卫生院,均按“咽炎,咽喉炎”给青霉素等治疗,疼痛逐渐消失,但咽干、声音嘶哑时好时坏,故去县医院就诊,常规胸透时发现双上肺斑片状阴影;血常规正常,血沉60mm/L,以“肺结核”转入我院。入院后追问病史,近1年来,患者经常“感冒”后咳嗽,但不发热,不盗汗。否认有肺结核及其密切接触史。查体除咽部充血外,余无异常。拍胸片示双上肺浸润型肺结核。多次强迫咯痰后查抗酸杆菌均(+)。正规抗痨治疗2个月,症状逐
Example 1: Male, 29 years old. Due to throat, hoarseness in February admitted. Patients 2 months ago, the sense of throat, no pain, followed by hoarseness with persistent throat pain; no fever, no cough, no fatigue and night sweats. Patients have repeatedly visited the local hospital after the illness, according to “pharyngitis, pharyngitis” to penicillin and other treatment, the pain gradually disappear, but the throat, hoarseness, good and bad times, so go to the county hospital, found when the conventional chest Double lung patchy shadow; normal blood, erythrocyte sedimentation rate 60mm / L, to “tuberculosis” transferred to our hospital. Medical history after admission, nearly a year, patients often “cold” after cough, but not fever, no night sweats. Denied the history of tuberculosis and its close contact. In addition to check the body throat congestion, I no exception. Take chest radiograph showed double pulmonary infiltrative pulmonary tuberculosis. After repeated forced sputum check acid bacteria are (+). Formal anti-tuberculosis treatment for 2 months, the symptoms by