病人男 27岁 1989年3月,因间断发热4个月,盗汗、乏力、纳差就诊外院。按肺炎予以抗炎及对症处理疗效不佳,体温有时高达40.5℃,摄胸片诊为粟粒性肺结核,转本院内科治疗。既往无外伤史、结核接触史及癫痫病史。查体:T36.2℃,P84次,R22次,BP12.3/10.1kPa。发育正常,营养差,神清。额部可见多个大小不等结节状肿物,无活动,压痛,有波动感。左下肺呼吸音弱,无干、湿罗 Male patient 27 years old In March 1989, due to intermittent fever for 4 months, night sweats, fatigue, anorexia treatment outside the hospital. According to pneumonia to anti-inflammatory and symptomatic treatment ineffective, sometimes up to 40.5 ℃ body temperature, chest X-ray diagnosis of miliary tuberculosis, transfer to hospital medical treatment. No previous history of trauma, TB history of exposure and history of epilepsy. Physical examination: T36.2 ℃, P84 times, R22 times, BP12.3 / 10.1kPa. Normal development, poor nutrition, gods clear. Numerous visible amount of nodules ranging from the amount of tumor, no activity, tenderness, a sense of volatility. Lower left lung breath sounds weak, dry, wet Luo