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患者,男,29岁。因发热、咳嗽、咳痰3天,于1985年9月29日入院。9月26日起无明显诱因发热,体温波动在37.3℃～38.8℃之间.伴咳嗽,咳少量黄痰、无臭味,不伴有咯血及胸痛。当胸片提示右肺第二肋间中带有一直径3×3cm球形阴影,边缘模糊,其内有小的高液平面。侧位病灶阴影位于上叶后段。临床疑诊为“肺脓肿”。既往身体健康,二月前曾患“牙龈脓肿”,无结核病史。查体:,T37.1℃,P86次/分,R16次/分,BP1 30/70mmHg,皮肤无黄染,表浅淋巴结未触及,心肺及腹部正常,双下肢无水肿,白细胞14200,中性占81%,血沉13mm/h,尿便常规正常。
Patient, male, 29 years old. Due to fever, cough, sputum for 3 days, on September 29, 1985 admission. September 26 no obvious incentive fever, body temperature fluctuations between 37.3 ℃ ~ 38.8 ° C. With cough, cough and a small amount of yellow sputum, no odor, not associated with hemoptysis and chest pain. When chest X-ray prompted the right intercostal space with a diameter of 3 × 3cm spherical shadow, fuzzy edge, which has a small high-level liquid. Lateral lesions shadow in the upper posterior segment. Clinical suspected diagnosis of “lung abscess.” Previously healthy, had “gingival abscess” before February, no history of tuberculosis. Examination: T37.1 ℃, P86 beats / min, R16 beats / min, BP1 30 / 70mmHg, no yellow skin, superficial lymph nodes not touched, cardiopulmonary and abdominal normal, no lower extremity edema, white blood cells 14200, neutral Accounting for 81%, erythrocyte sedimentation rate 13mm / h, urine routine normal.