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患者女性,30岁,已婚,持续高热、胸痛两月,咯血半月于1982年7月1日入院。 82年元月出现低热、鼻塞,流涕,多次诊为副鼻窦炎、喉炎、对症处理无效于同年5月高热、咳嗽、胸痛20天收住某医院。查体温40℃,血压100/70mmHg,脉搏120次/分,呼吸20次/分。一般情况差,巩膜无黄染、皮疹,浅表淋巴结不大,两肺底呼吸音减弱,心界不大,心率120次/分,律齐.各瓣膜未闻及杂音。腹软,肝脾未触及。查Hb12克,WBC16300/mm~3,N84％,血沉78mm/h,尿、肝功正常。胸片:左肺中下叶片状、云絮状密度增高阴影,内有园形或卵园形透光区。拟诊为双肺浸润型肺结核并金葡菌感染。先后给足量各种抗菌素及抗结核药物治疗四十余天体温
Patient female, 30 years old, married, sustained high fever, chest pain two months, hemoptysis half on July 1, 1982 admission. January 82 appeared fever, nasal congestion, runny nose, multiple diagnosis of sinusitis, laryngitis, symptomatic treatment is invalid in May the same year fever, cough, chest pain for 20 days admitted to a hospital. Check body temperature 40 ℃, blood pressure 100 / 70mmHg, pulse 120 beats / min, breathing 20 beats / min. The general situation is poor, Sclera no yellow dye, rash, superficial lymph nodes is not large, two lung bottom breath sounds weakened, heart, heart rate 120 beats / min, law homogeneous. Abdomen soft, liver and spleen not touched. Check Hb12 grams, WBC16300 / mm ~ 3, N84%, ESR 78mm / h, urine, normal liver function. Chest X-ray: left middle lobe leaves, cloud flocculus density increased shadow, there are round or oval garden transparent area. To be diagnosed as pulmonary infiltrative pulmonary tuberculosis and Staphylococcus aureus infection. Has given adequate amounts of various antibiotics and anti-TB drugs to treat more than 40 days body temperature