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患者男性,29岁,于1962年8月31日因剧咳、咯血、呼吸困难三天急症入院。1956年发现右侧肺结核,持续服异菸肼及对氨柳酸约3年,至1959年2月右侧肺结核已钙化。1962年8月28日下午剧烈咳嗽,大口咯鲜红色血液约100毫升,同时咯出米粒大坚硬的块状物数块,当晚感胸骨后疼痛闷胀,呼吸困难,咳嗽不止,颈部胀痛吞嚥困难,并开始全身发热。体格检查:体温40℃,脉搏100,呼吸30,血压110/60毫米汞柱,急性病容,半坐位,轻度紫绀,气管居中,颈静脉轻度怒张,
Male, 29 years old, was admitted to hospital on August 31, 1962 for three days of acute cough, hemoptysis and dyspnea. In 1956 found that the right side of the tuberculosis, continuous administration of isoniazid and salinization of about 3 years to February 1959 right side of the tuberculosis has been calcification. On the afternoon of August 28, 1962, a severe cough, big mouth slightly bright red blood about 100 ml, at the same time out of a large block of rice blocks a few pieces of the night feeling chest soreness, dyspnea, cough, neck pain Swallowing difficulties, and began to heat the whole body. Physical examination: body temperature 40 ℃, pulse 100, breathing 30, blood pressure 110/60 mm Hg, acute disease, half sitting, mild cyanosis, tracheal center, mild jugular vein engorgement,