1　病历摘要宋某 ,男 ,5 6岁 ,因畏寒发热、咳嗽、咳痰 2 0余天于 1999年 6月 14日入院。患者入院前 2 0余天无明显诱因而出现畏寒发热 ,体温高达 4 0°C,开始为干咳 ,约 1周后咳少量白色粘液痰 ,入院前 1周开始时有少量黄色脓性痰 ,无胸痛、胸闷、咯血及心悸 ,伴乏力纳差 ,无 1 medical record summary Song, male, 56 years old, chills and fever, cough, sputum more than 20 days in June 14, 1999 admitted. Patients before admission 20 days without obvious incentive to chills and fever, body temperature as high as 40 ° C, began to dry cough, about 1 week after a small amount of white mucus sputum, a week before admission, a small amount of yellow purulent sputum, no Chest pain, chest tightness, hemoptysis and palpitations, with anorexia, no