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近年我院发现嗜肺军团菌肺炎5例,其中将资料完整的3例报道。例一、男,34岁,以右胸背痛、腰痛一周为主诉于1991年11月15日入院。伴发热,T39～40℃,咳嗽、咯白色粘痰、偶带血丝,曾注射青霉素、内服麦迪霉素后热退、但胸痛无好转。入院时体检;T36℃,P80次/分,R22次/分,BP16/11kPa。一般情况良,无皮疹,浅表淋巴结不大,咽充血,两肺呼吸音粗糙,无干湿罗音,心律齐,肝脾未触及,无病理神经征。实验室检查:WBC12.8×10~9/L,N48％,L32％,E18％,M2％,RBC5.27×10~2/L,Hb157g/L,
In recent years, our hospital found Legionella pneumophila pneumonia in 5 cases, of which 3 cases of complete data reports. Example 1, male, 34 years old, with right thoracic back pain and back pain a week as the chief complaint was admitted on November 15, 1991. With fever, T39 ~ 40 ℃, cough, slightly sticky phlegm, even with bloodshot eyes, had penicillin injection, after taking midecamycin back, but the chest pain did not improve. Physical examination on admission; T36 ℃, P80 beats / min, R22 beats / min, BP16 / 11kPa. Generally good, no rash, superficial lymph nodes, pharyngeal congestion, rough breathing sounds of both lungs, no wet and dry rales, Qi Qi, liver and spleen not touched, no pathological neurological signs. Laboratory tests: WBC12.8 × 10-9 / L, N48%, L32%, E18%, M2%, RBC5.27 × 10-2 / L, Hb157g / L,