病历摘要患者女,69岁。住院号199396。因发热伴咳嗽10天,意识不清3小时于1989年7月31日入院。患者于7月21日无明显诱因出现发热,体温渐升至39.7℃,伴咳嗽,咳少量黄色粘痰,无胸痛、咯血。外院给予肌注青霉素80万单位,每日2次,体温持续在37.4℃～38.6℃。28日胸透见“双肺纹理粗厚”,继续青霉素治疗。30日体温升至39.2℃,伴全身乏力,留 Patient history Female, 69 years old. Hospital number 199396. Due to fever with cough for 10 days, unconsciousness 3 hours in July 31, 1989 admission. Patients on July 21 no obvious incentive to fever, body temperature gradually increased to 39.7 ℃, with cough, cough, yellow phlegm, no chest pain, hemoptysis. The hospital gave intramuscular penicillin 800,000 units, 2 times a day, body temperature continued at 37.4 ℃ ~ 38.6 ℃. On the 28th chest see “thick lungs texture” to continue penicillin treatment. Body temperature rose to 39.2 ℃ on the 30th, with generalized fatigue, stay