本文選題：繼發(fā)型肺結核　切入點：肺呼吸音　出處：《廣東醫(yī)學》2014年15期 　論文類型：期刊論文

【摘要】：正患者,女,46歲,因間斷咳嗽、咳痰半年,加重伴氣促1個月于2013年7月16日入院�；颊呒韧贰�人史、家族史無特殊。病史特點:患者6個月來無明顯誘因下出現陣發(fā)性咳嗽,咳少量白痰和黃黏痰,無痰血及咯血,病初未予重視,1個月來癥狀逐漸加重,有活動后胸悶,休息后可緩解,無胸痛、心悸,無發(fā)熱,本次入院前在當地社區(qū)抗感染(藥物不詳)治療1周,癥狀無改善,遂來我院。體格檢查:氣急貌,口唇黏膜無紫紺,右肺呼吸音增粗,左肺呼吸音清,兩肺未聞及干濕性Up音,心律齊,腹軟,無壓痛及反跳痛,雙下肢無水腫。入院后考慮繼發(fā)型肺結核進展期,輔助檢查:血常規(guī):WBC 8.7×109·L-1,N71.9%,Hb 118 g/L,Plt 213×109·L-1,EOS 0.521×109·L-1,E0%
[Abstract]:The patient, 46 years old, was admitted to hospital on July 16th 2013 due to intermittent cough, expectoration for half a year and exacerbation with shortness of breath. Family history was not special. History characteristics: the patient developed paroxysmal cough without obvious inducement in the past 6 months, coughing a small amount of white phlegm and yellow sticky phlegm, no phlegm, blood and hemoptysis, the disease was not paid attention to at the beginning of the disease, the symptoms gradually aggravated in the past month, and there was chest tightness after the activity. After rest can be relieved, no chest pain, palpitations, no fever, this time in the local community anti-infection (drug unknown) treatment for 1 week, symptoms have not improved, and came to our hospital. Physical examination: acute appearance, lip mucosa without cyanosis, The right lung breath sound is thicker, the left lung breath tone is clear, the two lungs do not hear the dry and wet up sound, the arrhythmia, the abdomen is soft, has no tenderness and rebound pain, both lower extremities have no edema. After admission, consider the secondary pulmonary tuberculosis progression, auxiliary examination: blood routine examination: WBC 8.7 脳 109 路L -1 + N71.9 HB 118 g / L Plt 213 脳 109 路L -1 EOS 0.521 脳 109 路L -1 EOS 0. 0%, after admission:% WBC 8.7 脳 109 路L ~ (-1) Hb118 脳 10 ~ (9) 路L ~ (-1) EOS 0.521 脳 10 ~ (9) 路L ~ (-1) EOS.
【作者單位】： 江蘇省無錫市第五人民醫(yī)院呼吸科;
【分類號】：R563

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