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患者,男,37岁。自诉1987年7月中旬,无明显诱因出现畏寒、发热,体温38℃左右,伴有右上胸部疼痛、咳嗽、咳痰,有时痰中带血,曾诊断“肺炎”,经抗感染治疗无效,后疑诊“肺结核”。于8月7日住我院结核科。 体检:体温37.8℃,慢性病容。右胸第二肋间以下叩诊呈实音,呼吸音明显减弱,可闻少许湿性啰音,左肺呼吸音增强。白细胞9100,中性80％,淋巴10％,单核8％,酸性2％。X线胸片报告:右上肺炎,性质待定。 入院后经消炎、拉结核治疗,效果不明显,每天
Patient, male, 37 years old. In mid-July 1987, there was no obvious incentive to complain of chills and fever. The body temperature was about 38 ° C, accompanied by chest pain, cough and sputum in the upper right and bloody sputum in some cases. Once pneumonia was diagnosed, After suspected “tuberculosis.” On August 7 live in our hospital tuberculosis. Physical examination: body temperature 37.8 ℃, chronic disease. Right chest below the second intercostal percussion showed a solid tone, breath sounds significantly weakened, can smell a little wet rales, increased left lung breath sounds. White blood cells 9100, 80% neutral, lymphatic 10%, mononuclear 8%, acid 2%. X-ray report: Right upper pneumonia, nature to be determined. After admission by anti-inflammatory, pull tuberculosis treatment, the effect is not obvious, every day