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在临床上经常将肺包虫破裂,误诊为肺结核或其它肺部疾病。本文对38例经手术证实为肺包虫破裂的病例,进行了分析讨论。 一、临床资料 在38例中,男性27例,女性11例。临床表现有发烧者32例,占84％,其中3例破入胸腔,起病急,高烧达39℃以上。咳嗽20例,占52％,其中2例咳有脓臭痰。咯血27例,占71％,其中一例发生大咯血,一次量为500ml,多数表现为痰中带血或少量咯血,反复发作,不易控制。咳出包虫囊液及内囊碎片10例,占26％。发生不明原因的荨麻疹4例。占10％。
Pulmonary hydatid disease often ruptured clinically, misdiagnosed as tuberculosis or other lung diseases. In this paper, 38 cases of pulmonary rupture confirmed by surgery were analyzed and discussed. First, the clinical data in 38 cases, 27 males and 11 females. 32 cases of clinical manifestations of fever, accounting for 84%, of which 3 cases broke into the chest, onset of acute and high fever reached 39 ℃ above. Cough in 20 cases, accounting for 52%, of which 2 cough purulent sputum. Hemoptysis in 27 cases, accounting for 71%, one case of massive hemoptysis, an amount of 500ml, most of the performance of bloody sputum or a small amount of hemoptysis, recurrent, not easy to control. Cough hydatid cyst fluid and internal capsule fragments in 10 cases, accounting for 26%. Unexpected urticaria occurred in 4 cases. 10%.