CAJ | 학술논문

患者男，45岁，因车祸反复咳嗽，咳脓痰10年于2011年3月1日入院。10年前车祸头部受伤后反复咳嗽、憋气、咳脓血痰，曾多次就诊于当地医院，分别于2002、2004和2009年3次行X线胸部摄片检查，均诊为“支气管肺炎”，给予抗感染药物治疗，每次抗感染治疗后咳嗽、咳痰略有减轻，但停药后前述症状再次反复。近3年来患者咳嗽、咳痰明显加重，为刺激性咳嗽，影响工作和休息。查体：右下肺呼吸音明显减低，可闻及湿性啰音。行支气管CT三维重建，可见右肺中叶支气管内条形高密度影并右肺中下叶支气管扩张并感染，诊断：支气管异物（右）。经追问病史，患者回忆起10年前车祸后曾有一硬腭骨板缺失，因车祸当时合并颅脑损伤，未进行支气管异物的检查。
환자남，45세，인차화반복해수，해농담10년우2011년3월1일입원。10년전차화두부수상후반복해수、별기、해농혈담，증다차취진우당지의원，분별우2002、2004화2009년3차행X선흉부섭편검사，균진위“지기관폐염”，급여항감염약물치료，매차항감염치료후해수、해담략유감경，단정약후전술증상재차반복。근3년래환자해수、해담명현가중，위자격성해수，영향공작화휴식。사체：우하폐호흡음명현감저，가문급습성라음。행지기관CT삼유중건，가견우폐중협지기관내조형고밀도영병우폐중하협지기관확장병감염，진단：지기관이물（우）。경추문병사，환자회억기10년전차화후증유일경악골판결실，인차화당시합병로뇌손상，미진행지기관이물적검사。
patient male, 45 years old, because of traffic accident repeatedly cough, vomica was admitted to hospital on March 1, 2011 10 years. A car accident 10 years ago after a head injury, shortness of breath, cough cough purulent sputum, once many times visits to the local hospital, respectively 2002, 2004 and 2009 3 X-ray chest film examination, was diagnosed as "pneumonia", anti-infection drug treatment, each anti-infective treatment of cough, expectoration slightly lightened after discontinuation of the symptoms, but over and over again. In the past 3 years in patients with cough, expectoration was aggravated, cough as irritating, work and rest. Physical examination: the right lower pulmonary respiration decreased obviously, audible and rales. Bronchial CT 3D reconstruction, visible right middle lobe endobronchial bar high density shadow and right lung lower lobe bronchiectasis with infection, diagnosis:bronchial foreign body (right). The medical history, patient recall 10 years ago after a car accident had a hard palate bone plate is missing, because of a car accident when combined with traumatic brain injury, no bronchial foreign body inspection.