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1、病例介绍 患者,男,36岁,因咳嗽,左侧胸闷、乏力,盗汗3个月在本厂保健站对症处理不见好转,且症状逐渐加重,于1997年5月14日来诊。既往体健,无结核病史。查体,体温36.5C,呼吸20次/分,脉搏80次/分,血压13/11kpa,营养中等,浅表淋巴结无肿大,双肺音清。心脏及腹部均未见异常。血常规:白细胞总数7.2×10~9/L,中性0.71,淋巴0.29。血沉55mm/h。X线胸片诊断,左肺空洞型肺结核,左肺及右中叶播散病灶。用链霉素、异烟肼、利福平、吡嗪酰胺治疗。约14天后,出现低烧,并逐渐升高,18天后,体温已高达39℃,左侧胸
1, case description The patient, male, 36 years old, due to cough, left chest tightness, fatigue, night sweats 3 months in our health care station symptomatic treatment did not improve, and the symptoms gradually aggravating, in May 14, 1997 consultation. Past physical health, no history of tuberculosis. Physical examination, body temperature 36.5C, breathing 20 beats / min, pulse 80 beats / min, blood pressure 13 / 11kpa, moderate nutrition, superficial lymph nodes without swelling, lung sound clear. Heart and abdomen were normal. Blood: white blood cells total 7.2 × 10 ~ 9 / L, neutral 0.71, lymph 0.29. ESR 55mm / h. X-ray diagnosis of left lung cavitary pulmonary tuberculosis, left and right middle lobe disseminated lesions. With streptomycin, isoniazid, rifampin, pyrazinamide treatment. About 14 days later, a low-grade fever appeared and gradually increased. After 18 days, the temperature was as high as 39 ° C and the left chest