【病例3】肺炎球菌性脓胸患者女,47岁,因发热、咳嗽、上腹痛入院。体温39.4℃,体检于右肺底部叩诊呈浊音,语颤减弱,闻及羊鸣音及管状呼吸音。胸片示右侧胸腔积液及右下肺炎。胸腔穿刺,胸水微混,WBC 38,000,蛋白3.5克%,乳酸脱氢酶600mU/毫升,血清乳酸脱氢酶650mU/毫升。胸水及痰涂片均找到固紫染色阳 [Case 3] Female pneumococcal empyema, 47 years old, due to fever, cough, abdominal pain hospitalized. Temperature 39.4 ℃, physical examination at the bottom of the right lung percussion was voiced, weakened tremor, smell and sheep sounds and tubular breathing sounds. Chest radiograph showed right pleural effusion and right lower pneumonia. Thoracentesis, pleural fluid micro-mixing, WBC 38,000, protein 3.5 g%, lactate dehydrogenase 600mU / ml, serum lactate dehydrogenase 650mU / ml. Pleural effusion and sputum smear are found solid purple staining Yang