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患者苗某,男,50岁,1980年6月25日入院。病员于1980年6月初感全身不适,轻咳,发烧,体温高达39℃左右,经用青霉素、链霉素及红霉素静点亦不退热。后疑似伤寒病人传染病院治疗,经检查否认伤寒诊断,以“发烧原因待查”转入我所治疗。入院时病员非常衰弱,不思饮食,咳嗽,间断性少量咯血,伴少量脓痰,体温波动在37～39℃之间。体检:慢性病容,消瘦。浅表淋巴结不肿大,皮肤无黄染。左胸呼吸音明显减弱,尤以左肩胛下区为著,语颤略增强,少量乾性罗音。偶有心律不齐(期前收缩)。肝右季肋下可触及边缘,脾未触及。无腹水,无下肢浮肿。末稍血白细胞略高,肝功正常,尿常规正常。痰菌培养为甲型链球菌和肺
Miao a patient, male, 50 years old, June 25, 1980 admission. Patients in early June 1980 feeling of general malaise, light cough, fever, body temperature up to about 39 ℃, with penicillin, streptomycin and erythromycin static point is not antipyretic. After the suspected typhoid infected patients hospitalized, the inspection denied typhoid diagnosis, “fever to be investigated” into my treatment. On admission, the patient was very weak, not eating, coughing, intermittent small hemoptysis, with a small amount of purulent sputum, body temperature fluctuations between 37 ~ 39 ℃. Physical examination: Chronic disease, weight loss. Superficial lymph nodes are not swollen, skin yellow dye. Left chest breath sounds significantly weakened, especially for the left subscapular area, language slightly increased, a small amount of dry rales. Occasional arrhythmia (pre-term contractions). Liver right quarter ribs can reach the edge of the spleen did not touch. No ascites, no lower extremity edema. Slightly higher peripheral blood leukocytes, normal liver function, normal urine. Sputum culture Streptococcus aureus and lungs