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患者男性，44岁，住院号197102。因畏寒发热于1991年5月14日入院。4天前有畏寒、寒战伴高热，医务室给予APC、螺旋霉素等药物无缓解而转来我院。平素体健。查体：T39.4℃，神萎，高热貌，巩膜黄染（+），右下肺呼吸音稍低，心（－），肝肋下约1cm，软，肝区叩痛（+），脾肋下约1cm，实验室检查：外周血WBC19.5×10~9/L，N0.92；肝功能：TB38.5μmol/L，1’B2μmol/L，ALT正常；HBsAg（+）；血沉76mm/h；骨髓涂片：增生性骨髓象，提示感染。胸透：双肺纹影增粗。B超：肝右膈面实质内见约6.2×6.1cm大小的无回声区，呈椭圆形，内有少许点状回声，膈肌动度较差。入院后拟诊为败血症，
Male patient, 44 years old, hospital number 197102. Due to chills and fever in May 14, 1991 admission. 4 days ago chills, chills with fever, the infirmary given APC, spiramycin and other drugs without remission and transferred to our hospital. Usually physical health. Examination: T39.4 ℃, Shenlian, hyperplasia appearance, sclera yellow dye (+), lower right lung breath sounds lower, heart (-), liver ribs about 1cm, soft, Spleen and ribs about 1cm, laboratory tests: peripheral blood WBC19.5 × 10 ~ 9 / L, N0.92; liver function: TB38.5μmol / L, 1’B2μmol / L, ALT normal; HBsAg 76mm / h; bone marrow smear: hyperplastic bone marrow, suggesting infection. Chest throat: double lung shadow thickening. B super: the right diaphragm surface of the liver see the size of the echo-free area of about 6.2 × 6.1cm, oval, there is a little punctate echo, diaphragm mobility is poor. Admitted to hospital diagnosed as sepsis,