论文部分内容阅读
患者男,60岁。因受凉后寒战、高热3天于1989年4月3日入院。查体:体温39.6℃,脉搏116/min,咽部轻度充血,扁桃体无肿大,双肺呼吸音粗糙,双侧肺底部均可闻及水泡音。心脏无异常。肝脾肋下未触及。双肾区轻度叩击痛。实验室检查:血沉第1小时26mm,第2小时50mm;白细胞11.6×10~9/L,中性0.85;血小板100×10~9/L。尿沉渣位相:蛋白((?)),红细胞满布视野;摄胸片示肺部感染。临床拟诊急性泌尿系感染及肺部感
Male patient, 60 years old. Chill after the chills, fever 3 days in April 3, 1989 admission. Physical examination: body temperature 39.6 ℃, pulse 116 / min, pharyngeal mild congestion, tonsil no swollen, lungs rough breathing sounds, both sides of the bottom of the lungs can smell and blisters sound. No abnormal heart. Liver and spleen ribs untouched. Kidney area mild percussion pain. Laboratory tests: ESR 1 hour 26mm, 2 hours 50mm; white blood cells 11.6 × 10 ~ 9 / L, neutral 0.85; platelets 100 × 10 ~ 9 / L. Urine sediment phase: protein ((?)), Red blood cells over the field of vision; chest radiograph showed lung infection. Clinical diagnosis of acute urinary tract infection and lung flu