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1病例报告患者男,14岁。以间歇性咳嗽、痰中带血、乏力3个月,加重1周入院。2011年11月患者无明显诱因下出现咳嗽、痰中带血、乏力,伴头晕、心悸、活动后气短,无发热、盗汗、胸痛,胸部CT检查提示双肺弥散性浸润影,考虑肺结核。给予抗结核药物治疗,症状无明显好转。2012年3月,患者因受凉后咳嗽加重、咯血、高热及呼吸困难加重急诊入院。查体:T 39.1℃,
1 case report patient male, 14 years old. To intermittent cough, bloody sputum, fatigue for 3 months, increased 1 week admission. Patients with no obvious incentive to cough in November 2011, bloody sputum, fatigue, with dizziness, palpitations, shortness of breath after activity, no fever, night sweats, chest pain, chest CT examination showed diffuse infiltration of lung shadow, consider tuberculosis. Given anti-TB drug treatment, no significant improvement in symptoms. In March 2012, the patient was admitted to the hospital due to increased coughing, hemoptysis, fever and difficulty breathing. Physical examination: T 39.1 ℃,