主任医师:这次临床病例讨论为1例肺部化脓性感染并发多脏器衰竭的病人,讨论的重点为其发生机制和诊治,请报告病历。实习医师:患者男,36岁,农民,住院号86482。因突然高热、咳嗽、咳铁锈色痰并剧烈右胸痛,烦躁2天于1993年7月13日收住院。体检:体温39℃,脉搏125/min,呼吸40/min,血压9.2/5.3kPa。青年男性,神志恍惚,烦躁不安,面色苍白,口唇紫绀,呼吸急促,三凹征(+),四肢冷,出 Chief Physician: The clinical case was discussed in 1 case of patients with pulmonary suppurative infection complicated with multiple organ failure, the discussion focused on its mechanism and diagnosis and treatment, please report the medical record. Intern: Patient Male, 36 years old, farmer, hospital number 86482. Due to sudden high fever, cough, cough, rust phlegm and severe right chest pain, irritability 2 days in July 13, 1993 admitted to hospital. Physical examination: body temperature 39 ℃, pulse 125 / min, breathing 40 / min, blood pressure 9.2 / 5.3kPa. Young men, trance, irritability, pale, cyanotic lips, shortness of breath, three concave signs (+), cold limbs, out