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病例摘要女患,62岁,因右胸部剌痛、发热、伴咳白色粘痰五天入院。查体:神清,语明,急性热病容,体温38.7℃,脉搏110次/分、呼吸26次/分,血压78/60mmHg。口唇发绀,右肺下可听到大量小水泡音。心音正常,心率110次/分,规则,心界正常。实验检查:胸部X摄片:右下肺大片密度增高影,其密度不匀。白细胞总数22000/mm~2,中性82％,淋巴18％。血沉正常,结核菌素试验正常。
Case Summary Female patient, aged 62, was admitted to the hospital for five days because of pain in the right chest, fever and cough with white phlegm. Examination: Shenqing, language, acute fever, body temperature 38.7 ℃, pulse 110 beats / min, breathing 26 beats / min, blood pressure 78 / 60mmHg. Cyanosis lips, right lung can hear a lot of small blisters sound. Heart sounds normal, heart rate 110 beats / min, rules, normal heart. Experimental examination: chest X-ray: right lower lung large density film, the density of uneven. The total number of white blood cells 22000 / mm ~ 2, 82% neutral, lymphatic 18%. Normal erythrocyte sedimentation rate, tuberculin test is normal.