具有肺部阴影合并发热的病例在呼吸内科甚为常见 ,多数为感染性肺部疾病 ,但有部分病例表现为长期发热 ,经抗生素治疗难以治愈 ,常规体检及实验室检查仍不能明确诊断 ,成为临床诊治中的难题。总结这方面的经验与教训 ,将对这类病例的诊治提供有益的经验。1　材料和方法1 1　病? Patients with pulmonary shadow with fever are very common in respiratory medicine, most of them are infectious pulmonary diseases. However, some cases show long-term fever, which is difficult to be cured by antibiotic treatment. The routine physical examination and laboratory tests are still not able to confirm the diagnosis and become Clinical diagnosis and treatment problems. Summarizing the experience and lessons learned in this area will provide useful experience in the diagnosis and treatment of such cases. 1 materials and methods 1 1 disease?