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患者,男,70岁。因咳嗽、咯脓性痰伴发热5天入院。半年前患膀胱癌,因属晚期,未治疗。偶有血尿。无消化道溃疡及肝肾病史。查体:体温37.5℃,脉搏88次/分,血压16/10kPa。神志清楚、重度贫血貌,未见皮疹及出血点,浅表淋巴结不大,气管居中,右下肺叩浊,可闻及湿性罗音。心律齐,心率88次/分,心尖区Ⅱ级缩鸣,肝脾肋下未及。余无异常体征。胸片示“右下肺片状阴影”。白细胞9.1×10~9/L,中性90%,淋巴18%,嗜酸性2%,Hb 46g/L,
Patient, male, 70 years old. Due to cough, purulent phlegm with fever 5 days admitted. Bladder cancer six months ago, because of late, untreated. Occasional hematuria. No history of peptic ulcer and liver and kidney disease. Physical examination: body temperature 37.5 ℃, pulse 88 beats / min, blood pressure 16 / 10kPa. Consciousness, severe anemia, no rash and bleeding, superficial lymph nodes, tracheal center, right lower lung tap turbidity, can be heard and wet rales. Heart rate Qi, heart rate 88 beats / min, Ⅱ apex acupuncture Ming Ming, liver and spleen ribs did not reach. I no abnormal signs. Chest radiograph shows “right lower lung flake”. WBC 9.1 × 10 ~ 9 / L, neutral 90%, lymphatic 18%, eosinophilic 2%, Hb 46g / L,