患者　女 ,45岁 ,因胸痛、乏力 9个月入院。患者 2 2年前体检发现右上肺阴影 ,曾 2次规律抗痨 1年 ,疗效不显。 1997-0 4又因右侧明显胸痛外院诊为“肺部感染”抗炎 1周无效 ,纤支气管镜分泌物刷片回报结核菌 (+ + + ) ,继续抗痨 8个月 ,仍无缓解。于 1998-0 1转入我院 ,体格检 Female patient, 45 years old, due to chest pain, fatigue, 9 months admission. 2 2 years ago, the patient was found in the right upper quadrant examination of the shadow of the lungs, had 2 times the regular anti-tuberculosis 1 year, the effect is not significant. 1997-0 4 because of obvious right chest pain outside the hospital diagnosed as “lung infection” anti-inflammatory 1 week ineffective, bronchial bronchial secretions brushback Mycobacterium tuberculosis (+ + +), continue anti-痨 8 months, no relief . In 1998-0 1 transferred to our hospital, physical examination