病 史 摘 要 患者,男性,63岁,职业干部,住院号丁1246。因游走性下肢静脉炎伴持续性发热一月入院。主诉近一周来头痛、乏力、鼻塞流涕。入院前检查两肺有较多的湿啰音,咽部充血。白细胞11,00O～14,600/立方毫米,中性白细胞70～80％。肺片示支气管周围炎及片状阴影,右下肢深静脉炎。患者有吸烟史40年,20~+支/日,有右坐骨神经痛史。 History of Disease Abstract: Patients, male, 63 years old, occupational cadre, hospitalization number 1246. Asymptomatic lower extremity phlebitis with persistent fever was admitted to hospital in January. He complained of headache, fatigue, and stuffy nose in the past week. Before admission, both lungs had more wet rales and pharyngeal hyperemia. Leukocytes were 11,00–14,600/mm 3 , and neutrophils were 70–80%. The lungs showed peribronchitis and lamellar shadows, and deep phlebitis of the right lower limb. The patient had a history of smoking for 40 years, 20 to + support/day, and a history of right sciatica.