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患者男,46岁。住院号:19850。1987年10月4日突然高烧,持续一周,伴咳嗽,咳白色粘痰。在某医院胸片X线检查提示右上肺片状模糊阴影,内见一圆形透亮区和液平面。X线诊断:右上肺结核,空洞形成。抗痨治疗4月余,X线复查:右上肺片状模糊阴影有所消散吸收,空洞已消失,形成局限性密度增浓不规则块状阴影。继续抗痨治疗。1988年4月上旬起,痰中持续带鲜血。无明显刺激性咳嗽。并出现右胸背痛,进行性加剧。多次痰检结核菌及癌细胞均阴性。5月27日肺部X线断层片见右上肺块形约4×4.5cm,
Male patient, 46 years old. Hospital ID: 19850. Suddenly high fever on October 4th, 1987, lasted for one week, with cough, white cough and sputum. The X-ray examination of a chest X-ray in a hospital showed a fuzzy smear of the right upper lung, and a round transparent area and a liquid plane were seen inside. X-ray diagnosis: right upper pulmonary tuberculosis, empty formation. More than four months of anti-spasmodic treatment, X-ray review: the upper right lung fragmentary fuzzy shadow has dissipated and absorbed, the void has disappeared, resulting in the formation of irregular thickening of block density. Continue anti-tuberculosis treatment. Since early April 1988, blood has continued in central Yunnan. No obvious irritating cough. Right chest and back pain occurred and the progress was intensified. Repeated examinations of tuberculosis and cancer cells were negative. On May 27, the X-ray slice of the lungs showed a mass of about 4 × 4.5 cm in the right upper lung mass.