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病历摘要 李某,男,43岁,已婚,河南籍,列车长。因咳嗽、发热、胸痛10余天于1979年1月6日入院。患者于1961年1月因咳嗽、痰中带血,经检查发现“右上肺结核”,口服异烟肼、PAS,肌注链霉素(总量35g)治疗,同年底复查病灶吸收乃停药。1979年9月初,患者自感发热,伴咳嗽、胸痛、乏力等症状,X线检查见两肺上部少量斑点状模糊阴影,左上肺第2助间隙有一圆形空洞,左下胸膜粘连,再次入院。无
Medical record summary Lee, male, 43 years old, married, Henan membership, train conductor. Due to cough, fever, chest pain more than 10 days in January 6, 1979 admission. Patients in January 1961 due to cough, bloody sputum, the examination found that “right upper pulmonary tuberculosis”, oral isoniazid, PAS, intramuscular streptomycin (total 35g) treatment, the same year to review the absorption of the lesion is withdrawal. Early September 1979, patients with self-induced fever, cough, chest pain, fatigue and other symptoms, X-ray examination showed a small amount of speckled blur shadow of the upper two lungs, the left upper left lung clearance of the second there is a round hole, left pleural adhesions, re-admission. no