病例摘要患者,男,43岁,某生产队放牧员。1977年8月25日发病。自觉周身不适、发烧、头痛,至27日下午突然呼吸困难,不能平卧,于当日下午6点40分急诊入院。查体:体温39.3℃,脉搏140,呼吸60,血压130/90。烦燥不安,呼吸困难,不能平卧,口唇明显发绀,咯粉红色泡沫痰,皮肤没发现丘疹、水肿及黑褐色干痂。两肺呼吸音减低,可闻少数于性啰音,心率140,律整,无杂音。腹部未发现异常。胸透:后 Case Summary Patient, male, 43 years old, a production team herdman. August 25, 1977 onset. Conscious whole body discomfort, fever, headache, sudden breathing difficulties to the afternoon of the 27th, can not lie down, at 6:40 on the same day emergency admission. Physical examination: body temperature 39.3 ℃, pulse 140, breathing 60, blood pressure 130/90. Irritability, difficulty breathing, not supine, obvious cyanosis of the lips, slightly pink foam sputum, no papules, edema and dark brown dry scabs on the skin. Reduced breath sounds of both lungs, can be heard in a few rales, heart rate 140, law, no noise. Abdomen was not found abnormalities. Chest throat: after