实习医师甲:患者,男,23岁,住院号:339395。于1984年起,无明显诱因畏寒、发热、体温38℃,咳嗽有少许白色粘痰。咳嗽加剧时伴有胸痛、盗汗,当地初诊为“上感”。经抗感染治疗一周仍不退热,体温38～39℃之间,气短加重,胸痛减轻,胸透为右侧胸腔积液,曾抽出黄色胸水三次,抽胸水后,压迫症状减轻。第三次抽胸水后突发高热,近20余天来体温持续在40℃左右,先后用过青霉素、链霉素无明显效果,遂于1985年2月27日入院。 Intern A: Patient, male, 23 years old, inpatient number: 339395. In 1984, no obvious incentive chills, fever, body temperature 38 ℃, cough with a little white sticky sputum. Coughing accompanied by chest pain, night sweats, the local newly diagnosed as “flu”. The anti-infective treatment for one week is still not antipyretic, body temperature 38 ~ 39 ℃, shortness of breath, chest pain reduced, chest through the right pleural effusion, had extracted yellow pleural effusion three times, chest pleural effusion, oppression symptoms reduced. The third burst of pleural effusion after a fever, nearly 20 days to body temperature continued at about 40 ℃, has used penicillin, streptomycin no significant effect, then in February 27, 1985 admission.