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患者男性,31岁,因咳嗽、咳痰2月~+于1990年5月28日入院。院外曾反复用青霉素、先锋霉素抗感染1月余无明显好转。既往体健。体查:T37℃,P:68次/分,R:18次/分,BP:5/9KPa。营养中等,慢性病容。皮肤巩膜无黄染,浅表淋巴结未触及双肺叩清,右肺呼吸音低,左肺呼吸音粗,双肺未闻及干湿性罗音,心界不大,各瓣膜听诊区未闻及病理性杂音.肝脾未扪及。血常规:Hb133g/L,WBC4.7×10~9,N71％,L29％;肝肾功能检查正常;痰抗酸杆菌检查:涂片(++),培养阳性(1月后报告结果),胸片示:双肺中、下野见斑片状阴影,左中可见一约2×2 cm环形影。
Male patient, 31 years old, was admitted to hospital on May 28, 1990 due to cough and expectoration from February ~ +. Hospital has repeatedly with penicillin, cephalosporin anti-infective more than 1 month no significant improvement. Past physical health. Physical examination: T37 ℃, P: 68 beats / min, R: 18 beats / min, BP: 5 / 9KPa. Medium nutrition, chronic disease. Skin sclera no yellow dye, superficial lymph nodes did not touch the lungs knock Qing, right lung breath sounds low, left lung breath sounds coarse, unhealthy lungs and wet and dry rales, the heart is not big, the valve auscultation area has not heard And pathological murmur. Liver and spleen not palpable. Blood routine: Hb133g / L, WBC4.7 × 10 ~ 9, N71%, L29%; liver and kidney function tests normal; sputum acid bacilli test: smear (++) Chest X-ray showed: double lung, the next field see patchy shadows, the left can be seen about 2 × 2 cm ring shadow.