病历摘要患者女性,18岁,于入院前两个月无何诱因突然发热,寒战、咳嗽、咯白色粘稠痰,偶有痰中带血。无胸痛,略有头晕、乏力、全身关节酸痛。在当地医院按“肺内感染”治疗一个月,但仍有发热,体温在37.5℃～39℃之间,咯少量暗红色血痰伴有胸闷、心悸、气短。半个月来尿少,气短加 Summary of patient history Female, 18 years old, two months before admission, no incentive for sudden fever, chills, cough, slightly thick viscous sputum, occasionally bloody sputum. No chest pain, a slight dizziness, fatigue, body soreness. In the local hospital by “pulmonary infection” for a month, but there are still fever, body temperature 37.5 ℃ ~ 39 ℃, slightly dark red bloody sputum accompanied by chest tightness, palpitations, shortness of breath. Half a month to oliguria, shortness of breath plus