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患者男,33岁,维吾尔族。因发热、咳嗽、咳痰、胸闷、气急入院。入院前曾在广州市某医院及新疆医学院门诊部就诊为“上呼吸道感染”给予对症治疗未愈。1990年曾做过阑尾切除术。查体:T39.5℃,面色潮红,胸廓双侧对称,双肺可闻及干湿性罗音,呼吸音减弱。心界不大,心率100次/分,律齐,未闻及病理性杂音。腹平软,肝上界右锁骨中线第五肋间,肝下界未及。Murphy’s征(-)。右上腹有轻压痛,无反跳痛,叩击痛(+),肠鸣音活跃。胸片示:支气管炎。血常规示:WBC:9.8×10~9/L,N 0.86,L 0.14,拟诊为急性支气管炎。入院第三天,双侧肺部罗音略减轻。且持续高热达40～
Male patient, 33 years old, Uighur. Due to fever, cough, sputum, chest tightness, shortness of breath admitted to hospital. Before admission in a hospital in Guangzhou City and Xinjiang Medical College out-patient clinic for “upper respiratory tract infection” given symptomatic treatment healed. Appendectomy was performed in 1990. Physical examination: T39.5 ℃, flushed, bilateral symmetrical chest, lungs can be heard and wet and dry rales, breath sounds weakened. Heart is not big, heart rate 100 beats / min, law Qi, no smell and pathological murmur. Abdomen soft, the upper right subclavian midline fifth intercostal space, the liver under the border and not. Murphy’s sign (-). Right upper quadrant mild tenderness, no rebound pain, percussion pain (+), bowel sounds active. Chest radiograph shows: Bronchitis. Blood showed: WBC: 9.8 × 10 ~ 9 / L, N 0.86, L 0.14, to be diagnosed as acute bronchitis. On the third day of admission, bilateral pulmonary rales slightly relieved. And sustained high heat up to 40 ~