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患者李某,男,55岁,农民。因发热、咳嗽2月余,加重5天,于1987年4月7日入院。起始,因咳白色粘痰、发热,在他院诊断为“肺炎”。后病情加重,纳差,咳黄色痰。入院经青、链、红霉素等抗生素治疗,炎症未吸收。咳嗽增重,汗多,乏力。既往无肝炎、结核等。体检:T38.1℃,P100次/分,R22次/分,BP18.1/9.3kpa,神清,中度贫血貌,
Patient Lee, male, 55 years old, farmer. Due to fever, cough more than 2 months, increased 5 days, in April 7, 1987 admission. The beginning, due to cough white phlegm, fever, diagnosed in his hospital as “pneumonia.” After the aggravating condition, anorexia, cough yellow sputum. Admission by the green, chain, erythromycin and other antibiotics, inflammation is not absorbed. Cough gain, sweat more, fatigue. Past no hepatitis, tuberculosis and so on. Physical examination: T38.1 ℃, P100 beats / min, R22 beats / min, BP18.1 / 9.3kpa, Shen Qing, moderate anemia appearance,