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1 病例报告患者男,19岁。因咳嗽、咯痰、发热、盗汗20余天于2001—05—29入院。入院时体温39.6℃,呼吸26/min,神清。瞳孔对称,等大同圆,光反射灵敏,口唇无发绀,颈软。双肺呼吸音较粗糙,未闻及干湿性啰音。心率90/min,律齐。腹软,肝脾无肿大。生理反射存在,未引出病理反射。X线胸片示:双肺布满粟粒结节影,大小、密度、分布均匀。肝、脾、肾B超检查无异常。诊断:急性粟粒型肺结核。给予利福平、异菸肼、链霉素、乙胺丁醇、氧氟沙星及激素等治疗。高热39～40℃持续近1
1 case report Patient male, 19 years old. Due to cough, expectoration, fever, night sweats more than 20 days in 2001-05-29 admission. Admission temperature 39.6 ℃, breathing 26 / min, God clear. Pupil symmetry, such as Datong circle, light reflection sensitive, no cyanosis lips, neck soft. Breathe sound of lungs is rough, unheard and wet and dry rales. Heart rate 90 / min, law Qi. Abdominal soft, no swelling of the liver and spleen. Physiological reflex exists, did not lead to pathological reflex. X-ray showed: lung covered with miliary nodules, size, density, evenly distributed. Liver, spleen, kidney B ultrasound no abnormalities. Diagnosis: Acute miliary tuberculosis. Rifampin, isoniazid, streptomycin, ethambutol, ofloxacin and hormones and other treatment. High fever 39 ~ 40 ℃ continued nearly 1