病历摘要患者女,5 0岁,农民,浙江萧山人。因咳嗽1月,发热2周于2 0 0 3年3月13日入本院。患者咳嗽症状较轻,咳白色黏液痰少许,偶有胸痛,半月前咳嗽加重,出现发热,体温波动于38℃～39℃,无盗汗、咯血、胸闷、气急。入院前3d出现头痛,时有恶心呕吐,呕出少量胃内容物。当地医院外以 Patient summary Female patient, 50 years old, farmer, Zhejiang Xiaoshan people. January due to cough, fever 2 weeks in March 13, 2003 into our hospital. Patients with mild cough, cough, white mucus and sputum a little, occasional chest pain, cough worse half a month ago, fever, temperature fluctuations in 38 ℃ ~ 39 ℃, no night sweats, hemoptysis, chest tightness, shortness of breath. 3 days before admission, headache, nausea and vomiting, vomit a small amount of stomach contents. Outside the local hospital