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病历摘要患者男,36岁。因呛咳,咯黄脓痰伴发热6月余入院。患者自1985年3月初无明显诱因突然剧烈呛咳,咯黄脓痰,最中等,伴发热37.5℃～39℃,两天后去某医院就诊,WBC14×10~9/L,N82%、L18%,胸透示“右下肺炎,”给予青、链霉素治疗,1周后咳嗽减轻,脓痰减少,体温降至37.5℃左右,继续抗炎治疗。但症状未见进一步改善。同年8月16日来院就诊,WBC8.5×10~9/L,N85%、L15%,胸透示右肺下野呈片絮状密度增高阴影,边缘不清,给予多种抗生素治疗3周,症状仍无好转,胸片示右肺中叶不张,诊断为右肺中叶综合征。于同年9月5日以右肺中叶综合
Patient summary Male, 36 years old. Due to cough, yellow purulent sputum with fever more than 6 months admitted to hospital. Patients from March 1985 no significant incentive sudden severe cough, slightly purulent sputum, the most moderate, with fever 37.5 ℃ ~ 39 ℃, two days to a hospital, WBC14 × 10 ~ 9 / L, N82%, L18% , Chest revealed “right lower pneumonia,” given green, streptomycin treatment, cough reduced after 1 week, purulent sputum decreased body temperature dropped to 37.5 ℃ or so, continue anti-inflammatory treatment. However, no further improvement in symptoms. August 16 the same year to the hospital for treatment, WBC8.5 × 10 ~ 9 / L, N85%, L15%, chest X-ray shows the right lung was flaky lower density, edge unclear, given a variety of antibiotics for 3 weeks, the symptoms Still no improvement, the right chest lung showed atelectasis, diagnosis of right middle lobe syndrome. In the same year on September 5 to the right middle lung synthesis