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患者男,77岁。1984年5月21日因咳嗽、咳黄白泡沫样痰、气短而入院。胸部X 线所见:右肺上野3×4cm 空洞,中下野可见散在浓淡不均边缘模糊的斑点状阴影。痰结核菌检查阳性。临床诊断:浸润型肺结核进展期,采用链霉素、异菸肼、利福平治疗,病情逐渐好转。1984年9月14日因活动后突然大咯血,先后三次总略血量2000ml 以上,给于止血治疗。当时查体:面色苍白。化验:血红蛋白64g/L(6.4g/dl),红细胞1.84×10~(12)/L(184万/mm~3),白细胞2.0×10~9/L(2000/mm~3),血小板60×10~9/L(6万/
Male patient, 77 years old. May 21, 1984 due to cough, cough, yellow and white foam-like sputum, shortness of breath and admission. Chest X-ray findings: the right lung Ueno 3 × 4cm hollow, scattered in the middle and lower field scattered uneven shades of speckled shadows. Sputum TB test positive. Clinical diagnosis: progressive pulmonary tuberculosis, the use of streptomycin, isoniazid, rifampicin treatment, the condition gradually improved. September 14, 1984 due to sudden hemoptysis after the event, has three times the total blood volume of more than 2000ml, given to stop bleeding treatment. At that time physical examination: pale. Assay: Hemoglobin 64g / L (6.4g / dl), erythrocytes 1.84 × 10-12 / L (1.84 million / mm 3), white blood cells 2.0 × 10-9 / L × 10 ~ 9 / L (60,000 /