患者男,34岁。因发热20d、鲜血便于2005年7月7日入院。患者20d前无明显诱因出现发热,体温39℃,无胸痛、便血在当地诊为“伤寒”,经抗菌治疗无效后转入我院。胸部X线片示双肺急性粟粒性肺结核(肝功、肝胆B超正常),予抗结核药(异烟肼0.3g等)院外口服治疗,服药后自觉心慌、气促、 Patient male, 34 years old. Due to fever 20d, blood was easy to July 7, 2005 admission. No obvious incentive for patients before 20d appeared fever, body temperature 39 ℃, no chest pain, blood in the local diagnosis of “typhoid fever”, after anti-bacterial therapy invalid into our hospital. Chest X-ray showed acute lung miliary tuberculosis (liver function, hepatobiliary B-normal), anti-tuberculosis drugs (isoniazid 0.3g, etc.) outpatient oral treatment, consciously after taking the medication palpitation, shortness of breath,