男患,24岁,咳嗽、咳痰、气喘伴发热10余天。1990年12月24日午休起床后即感疲乏无力、畏寒、全身肌痛,继而咳嗽、咳白色粘痰(量中),头痛,次日加重,发作性气喘、寒颤、体温39℃,无咯血、胸痛、吐泻及心悸等。肌注青、链霉素数日无效,改用氨苄青霉素静滴6天,仍无效。体温达39.5℃,咳喘加重,于1991年1月5日收入院。体检:T38.7℃、R25次/分、P104次/分、Bp13.3/8.0kPa,急性病容,口唇轻度紫绀,咽充血,扁桃体无肿大。双肺叩诊呈过清音,双肺闻及广泛哮鸣音,右肺中下少许湿啰音穆?04次/分,律整,无杂音,肝脾未及。化验:白细胞4.2×10~9/L,中性0.64,C反应蛋白强阳性,尿素氮9.3mmol/L,血钠328mmol/L,血肌酐194.5μmol/L,尿肌酐1.7g/24h,(尿量1700ml),尿蛋白0.25g/ Male suffering, 24 years old, cough, expectoration, asthma with fever for more than 10 days. December 24, 1990 afternoon after getting up that feeling tired and weak, chills, body muscle pain, and then cough, cough, white phlegm (headache), headache, the next day increased, episodic asthma, chills, temperature 39 ℃, no Hemoptysis, chest pain, vomiting and heart palpitations. Intramuscular injection of streptomycin days invalid, use ampicillin infusion 6 days, still ineffective. Body temperature of 39.5 ℃, cough and exacerbations, January 5, 1991 income hospital. Physical examination: T38.7 ℃, R25 beats / min, P104 beats / min, Bp13.3 / 8.0kPa, acute illness, mild cyanotic lips, pharyngeal congestion, tonsil no enlargement. Pulmonary percussion was voiceless, the lungs heard extensive wheezing, the right lung a little wet rales  Mu? 04 times / min, law, no noise, liver and spleen not yet. Assay: Leukocytes 4.2 × 10 ~ 9 / L, neutral 0.64, C-reactive protein strongly positive, urea nitrogen 9.3mmol / L, serum sodium 328mmol / L, serum creatinine 194.5μmol / L, urinary creatinine 1.7g / Volume 1700ml), urine protein 0.25g /