患者 ×××,男,39岁,衢化公司建德石灰石矿工人。曾 作井下风钻及露天开采风钻工(1964年前为干式作 业,1964年以后为湿式作业),接尘工龄9年。 1967年经省矽肺诊断小组确诊为Ⅰ期矽肺,1972年 晋为Ⅱ期矽肺。既往健康。1973年9月因主诉乏 力、胸闷、反复咳嗽、咯痰、食欲不振半年余诊断 为Ⅱ期矽肺而入院疗养。入院后除以上症状外,有反 复发烧,体温:37.5～39℃,血色素80～120g/L, 常卧床不起,肝功检查:除ZnTT12—16u外,余 项正常。尿常规检查:蛋白痕迹—++,红细胞少许 —++,偶有颗粒管型。血沉30～56mm/小时,痰 抗酸杆菌6次(-)。心电图显示有心肌损害。胸 Patients × × ×, male, 39 years old, the company built Jiande limestone miners. Wind blowers and open-air wind jacking workers were drilled (dry work before 1964 and wet work after 1964), and dust-cleaning work was carried out for 9 years. In 1967 by the provincial silicosis diagnosis group diagnosed as stage silicosis, in 1972 Jin Ⅱ stage silicosis. Past health. September 1973 due to the main complaint of fatigue, chest tightness, repeated cough, expectoration, loss of appetite for more than six months diagnosed as stage Ⅱ silicosis and hospitalization. In addition to the above symptoms after admission, there are repeated fever, body temperature: 37.5 ~ 39 ℃, hemoglobin 80 ~ 120g / L, often bedridden, liver function tests: In addition to ZnTT12-16u, the rest of the normal. Urine routine examination: protein traces - ++, a little red blood cells - ++, occasional granular tube. ESR 30 ~ 56mm / hour, sputum acid-fast bacilli 6 times (-). ECG shows myocardial damage. chest