1　病历摘要患者男性, 20岁,农民,未婚。因间断咳嗽,咯血 3个月,加重 2d于 2002-11-25入院。患者于 3个月前无明显诱因出现咳嗽,咳少量白痰,痰中带血丝,伴发热,体温最高达 38℃,次日晨可降至正常。无喘憋,无皮疹、肌肉酸痛,无尿急、尿频、尿痛,在院外对症及正规抗感染治疗无效 1 medical record Summary Male patient, 20 years old, farmer, unmarried. Due to intermittent cough, hemoptysis for 3 months, increased 2d in 2002-11-25 admission. Patients with no obvious incentive to cough 3 months ago, a small amount of cough white sputum sputum with bloodshot, with fever, body temperature up to 38 ℃, the next morning can be reduced to normal. No wheezing, no rash, muscle aches, no urgency, frequent urination, dysuria, symptomatic and formal anti-infective treatment in the hospital is invalid