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患者,男,18岁。入院前5天起畏寒,轻微寒颤,持续半天,继而持续高热,全身不适,纳差。2日后出现干咳无痰,伴左胸痛,气促,在乡卫生院治疗,症状未缓解,既往无结核病史及接触史。 体查:体温39℃,脉搏98次,呼吸24次,全身皮肤、巩膜无黄染,无皮疹,浅淋巴结无肿大,咽充血,气管右移。左侧胸廓饱满,语颤减弱,叩呈实音,左肺呼吸音消失,右肺正常。
Patient, male, 18 years old. 5 days before admission chills, a slight chills, continued for a long time, followed by sustained high fever, malaise, anorexia. 2 days after the emergence of dry cough without sputum, with left chest pain, shortness of breath, treatment in township hospitals, symptoms did not ease, no past TB history and exposure history. Physical examination: body temperature 39 ℃, pulse 98 times, breathing 24 times, systemic skin, sclera no yellow dye, no rash, no swelling of the superficial lymph nodes, pharyngeal congestion, right tracheal shift. Left thoracic full, tremor weaken, knocking was solid tone, left lung breath disappeared, right lung normal.