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患者男性,25岁,农民.因反复咯血痰伴发热4月,黄疸1月来院门诊,既往体健.4月前受凉后咯血痰、低热,有时盗汗、乏力.1月前始全身黄染、高热.某院按细菌性肺脓疡治疗,先后用氨苄青霉素、先锋V及异烟肼、利福定、乙胺丁醇等药物无效,于1990年5月收住本院.体检:T39.5℃,P104次/分,R22次/分,BP14/7kPa.消瘦,巩膜及全身皮肤黄染.左锁骨上及右腋窝触及数颗花生米大淋巴结,质软,活动,无触痛.右上肺少许湿罗音.腹膨隆,肝右肋下10cm,质软,表面光
Patient male, 25 years old, peasants. Due to repeated hemoptysis phlegm with fever in April, jaundice in January to the hospital, previous physical health .April 4 months after the hemoptysis sputum, fever, and sometimes night sweats, fatigue .At the beginning of the body yellow dye, High fever. A hospital by bacterial lung abscess treatment, followed by ampicillin, vanguard V and isoniazid, rifadin, ethambutol and other drugs ineffective, admitted to our hospital in May 1990. Physical examination: T39. 5 ℃, P104 beats / min, R22 beats / min, BP14 / 7kPa. Emaciation, sclera and whole body skin yellow dye .And the left supraclavicular and right axillary touch a few peanuts large lymph nodes, soft, activity, A little lung wet rales. Abdominal bulge, right hepatic ribs 10cm, soft, surface light