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例1 张×,女,35岁。主诉每午后畏寒、发热一个月,作温有时高达38℃～39℃。伴有咳嗽、胸闷,曾静脉点滴抗生素10天不见好转。查体:营养好,咽部正常,肺部偶有少许干罗音,其他无阳性体征。胸片:右肺下纹野增强,心膈角区可见模糊小斑片状阴影,尿常规无改变。曾疑似上呼吸道感染合并肺炎。住院治疗,用氟哌酸及甲硝唑治疗两周仍不见好转。午前体温正常,午后38℃～39℃之间。再进一步询问病史,病人自述入院前每下班到家不久即发热,日间上班自觉轻快。再查血细胞,嗜酸白细胞计数为1314/mm~3。诊断肺嗜酸细胞增多症。按该
Example 1 Zhang ×, female, 35 years old. The main complaint every chills, fever a month, for the temperature sometimes up to 38 ℃ ~ 39 ℃. Accompanied by cough, chest tightness, intravenous antibiotics for 10 days did not improve. Physical examination: good nutrition, normal throat, lung occasionally a little dry rales, the other no positive signs. Chest X-ray: under the right lung enhancement of the lungs, diaphragmatic area visible fuzzy patchy shadow, urine routine no change. Had suspected upper respiratory tract infection with pneumonia. Hospitalization, norfloxacin and metronidazole treatment for two weeks still did not improve. Normal temperature before noon, between 38 ℃ ~ 39 ℃ in the afternoon. Further inquiry history, the patient readmission every day before leaving home soon fever, work day-to-day briskly. Then check the blood cells, eosinophil count 1314 / mm ~ 3. Diagnosis of pulmonary eosinophilia. Press on