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患者男性,41岁.1963年3月7日下午突然发冷发热,左胸疼痛.次日用“青毒素”肌注二次,因出现皮疹而停.8日午夜咳嗽、咯锈痰约50毫升.于9日早晨入院. 体检:体温38℃,脉124次/分,呼吸急促,急性病容.左肺第三肋以上叩之发浊,他处肺清音反响增强,两肺呈喘息性呼吸及多数散在性乾湿啰音.血液涂片分类中性87%. 住院经过:3月10日X线胸透,左第1～4前肋间有大片状阴影,叶间裂隙向下凸出,第二肋间中带有乒乓球大空洞,无液面.入院后以链霉素每日一克肌注不见好转.自3月10日至4月2日曾单
Male patient, aged 41. On the afternoon of March 7, 1963, suddenly chills and fever, left chest pain, the next day with “green toxin” intramuscular injection twice, due to rash and stop .8 midnight cough, slightly rusty phlegm about 50 Ml. On the morning of the 9th admission. Physical examination: body temperature 38 ℃, pulse 124 beats / min, shortness of breath, acute disease content. Left lung above the third rib knock knock turbid, his lung emphysema response increased, both lungs were wheezy breathing And most of the scattered wet and dry rales. Blood smear classification of neutral 87%. Hospitalized after: March 10 X-ray chest, the first 1 to 4 left before the intercostal large shadow, the downward projection of the interlobar fissure , The second intercostal space with table tennis big hole, no liquid .After admission to streptomycin daily intramuscular injection did not improve .From March 10 to April 2 had a single