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张××,男,40岁,住院号4011。1983年5月以右侧胸痛不适,咯痰,痰中带血丝四年之主诉入院。患者四年前因“感冒”后咳嗽,咯痰,痰中带血,食欲减退,体重下降,曾以“肺结核”住院治疗。体检:体温36.5℃,脉搏80次/分,呼吸20次/分,血压110/70mmHg。神志清楚,慢性病容,消瘦,贫血外貌。全身淋巴结不大。胸廊对称,右下呼吸音低,两肺未闻及干湿鸣。心界不大,心律齐,各瓣膜未闻及病理性杂音。肝脾不大。化验室检查:红血球372万,血红蛋白11克。白血球6000,中性58%,淋巴24%,大单核2%,嗜酸细胞16%,血小板8.9万。肝功及尿常规正常。尿素氮8.2mg%,二氧化碳56v%,血钾16mg%,血钠144.2mg%,血钙10mg%,血氯510mg%。痰液涂
Zhang × ×, male, 40 years old, hospital number 4011. In May 1983, he complained of discomfort on the right side of his chest pain, his expectoration, and the chief complaint of four years of bloody sputum was admitted to hospital. Four years ago, the patient developed cough and sputum after a “cold” illness. He had bloody sputum, decreased appetite, and lost weight. He had been hospitalized for “tuberculosis.” Physical examination: body temperature 36.5 °C, pulse 80 beats / min, breathing 20 beats / min, blood pressure 110/70mmHg. Conscious, chronic disease, weight loss, anemia appearance. Systemic lymph nodes are not large. Symmetrical on the chest, with low right lower breath sounds, and no wet and dry sounds in both lungs. The heart is not big, heart rate is equal, and the valves do not smell pathological murmurs. Liver and spleen are not large. Laboratory inspections: 3.7 million red blood cells and 11 grams of hemoglobin. White blood cells 6000, neutral 58%, lymphoid 24%, large mononuclear 2%, eosinophils 16%, platelets 89,000. Liver function and normal urine routine. Urea nitrogen 8.2mg%, carbon dioxide 56v%, serum potassium 16mg%, blood sodium 144.2mg%, blood calcium 10mg%, blood chlorine 510mg%. Liquid coating