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患者女,18岁,因“发冷、发热、咳嗽、咯痰”三个月于1985年8月13日入院。患者于三个月前感牙痛、左耳痛伴左耳流脓,在当地治疗半月,症状减轻。但随后出现发冷、发热,体温持续在40℃左右,咳嗽、咯少量白色粘液样痰,偶而痰中带血丝,胸痛,伴有双膝、肩关节肿痛,腰部酸痛,纳差、乏力,曾住入某院。先用青霉素、链霉素、红霉素、庆大霉素等治疗一个月无效。后改用雷米封加链霉素加对氨基水杨酸钠等联合抗痨一月余,体温仍未下降,痰量增多,每日30～40ml,白色粘痰,间歇少量咯血,气短。发病以来无心悸、腹胀,双下肢水肿,
The patient, aged 18, was hospitalized on August 13, 1985 for three months of chills, fever, cough, expectoration. The patient felt toothache three months ago, left ear pain with left ear pus, and he was treated for half a month in the local area. The symptoms were relieved. But then there was chills and fever, and the body temperature continued to be around 40°C. There was a cough, a little white mucous sputum, occasionally bloody sputum, chest pain, swelling and pain in both knees and shoulders, sore waist, anorexia, and fatigue. Once lived in a hospital. The first treatment with penicillin, streptomycin, erythromycin, gentamicin, etc. is not effective for one month. After the switch to remifentanil plus streptomycin combined with sodium salicylate and other anti-mite for more than a month, the body temperature has not yet dropped, increased sputum, daily 30 ~ 40ml, white sticky sputum, intermittent small amount of hemoptysis, shortness of breath. Since the onset of heart palpitations, bloating, double lower limb edema,