1病例介绍患者男,81岁。因“反复发热伴寒战、咳嗽、咳痰1个月”由外院转入,既往有类风湿关节炎、糖尿病、糖尿病肾病等病史。查体:体温:36.6℃,脉搏:68次/min,呼吸:21次/min,血压:123/73 mm Hg(1 mm Hg=0.133 kPa)。患者神志清楚,慢性病容,皮肤巩膜轻度黄染,全身浅表淋巴结未扪及肿大。颈静脉正常,心界不大,心率齐,各瓣膜区未闻及杂音。胸廓未见 1 case description Patient male, 81 years old. Because of “repeated fever with chills, cough, expectoration for 1 month” transferred from the outside hospital, past history of rheumatoid arthritis, diabetes, diabetic nephropathy and so on. Physical examination: Body temperature: 36.6 ℃, pulse: 68 beats / min, respiration: 21 beats / min, blood pressure: 123/73 mm Hg (1 mm Hg = 0.133 kPa). Conscious patients, chronic disease, skin scleral mild yellow dye, systemic superficial lymph nodes palpable and enlarged. Normal jugular vein, heart is not big, heart rate Qi, the valve area did not smell and noise. Thorax not seen