患者男性 ,19岁 ,军人。因活动后气短半年 ,加重伴咳嗽 1月余而于 1999- 0 9- 2 1入院。患者半年来气短逐渐加重 ,咳嗽为刺激性干咳 ,无胸痛、咯血 ,无发热、盗汗 ,但体重明显减轻。当地医院摄Ｘ线胸片示双肺满布类圆形的密度增高影 ,入院前诊断为粟粒型肺结核 ,给予抗痨治疗 2 Male patient, 19 years old, soldier. Due to shortness of breath after the activity for six months, with more than 1 month of cough and admitted in 1999- 0 9-2 1 admission. Six months, patients gradually increased shortness of breath, cough irritating cough, no chest pain, hemoptysis, no fever, night sweats, but the weight was significantly reduced. Local hospital radiography chest X-ray showed double lung covered with a round of increased density shadow, pre-hospital diagnosis of miliary tuberculosis, given anti-tuberculosis treatment 2