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病历摘要患者男,29岁,住院号81406。因咳嗽、间歇性咯血40天,发烧14天于1977年11月10日入院。于40天前无明显诱因感头昏、咽痛、咳嗽、吐白色粘稠痰,偶有痰中带血丝。在当地就诊,胸透发现右第三前肋间处有阴影,曾用青霉素、链霉素治疗。14天前在一次剧咳中,咯血400～500毫升,即住某县医院治疗,经用垂体后叶素静滴咯血停止后,体温高达40℃,神志恍惚,但无寒战、头痛、呕吐、亦无腰痛、尿频、尿急及尿痛。给予异菸肼、链、红、氯霉素
Patient summary Male patient, 29 years old, hospital number 81406. Due to cough, intermittent hemoptysis for 40 days, fever 14 days in November 10, 1977 admission. No obvious incentive in 40 days before the feeling of dizziness, sore throat, cough, spit white viscous sputum, occasional sputum with bloodshot eyes. In the local treatment, chest X-ray found at the right third of the intercostal shadow, penicillin, streptomycin treatment. 14 days ago in a cough, hemoptysis 400 to 500 ml, that is, living in a county hospital for treatment, the use of vasopressin after intravenous hemoptysis stopped, body temperature up to 40 ℃, trance, but no chills, headache, vomiting, nor Low back pain, frequent urination, urgency and dysuria. Give isoniazid, chain, red, chloramphenicol