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××医院于5月27日给王××发出信件,患者于5月31日收到时,除感觉乏力外,仅有轻度干咳和胸闷,不发热,故未介意。7月9日王××又不慎感冒,自觉微热、咳嗽,咳少量黄痰,气促。次日去县医院胸透,发现在右肺中叶又呈现片状阴影,因此于7月12日又返回××医院二次住院诊疗。查体:体温38℃,脉搏84次/分,呼吸24次/分,血压120/75 mmHg,体重60 kg,神志清。心脏检查无著变。右胸3～4肋间呼吸音略减低,未听到干湿性罗音,腹部、关节、神经和四肢检查无异常所见。实验室检查:红细胞380万/mm~3,白细胞数12 000/mm~3,血沉率第1小时40 mm,胸部正位片显示右肺内带下方有一
× × Hospital sent a letter to Wang ×× on May 27, when the patient received on May 31, except mild cough, chest tightness and no fever, he did not mind. July 9 Wang × × accidentally cold, consciously fever, cough, cough, yellow sputum, shortness of breath. The next day to the county hospital thoracic and found in the middle of the right lung also showed flaky shadows, so on July 12 and returned to × × hospital second hospitalization. Physical examination: body temperature 38 ℃, pulse 84 beats / min, breathing 24 beats / min, blood pressure 120/75 mmHg, weight 60 kg, clear mind. Heart check no change. The right chest 3 ~ 4 intercostal breath sounds slightly reduced, did not hear the wet and dry rales, abdomen, joints, nerves and limbs check no abnormal findings. Laboratory tests: erythrocytes 3.8 million / mm ~ 3, white blood cell count 12 000 / mm ~ 3, erythrocyte sedimentation rate 1 hour 40 mm, chest anteroposterior film shows the right lung with a