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1 病历摘要 患者,男,23岁。因咳嗽、咳痰3个月伴发热,痰血20d,于1993年3月11日入院。入院前3月因受凉咳嗽,流涕,当时自认为“感冒”未治疗,渐好转,但仍咳嗽,半个月前因劳累咳嗽加剧,伴少量痰液,当时无发热、胸痛、咯血。给服“止咳药及抗生素”等治疗无效,改用青霉素静脉点滴10d无效,且痰量增多伴有血痰、活动后呼吸困难。摄x线胸片提示右下肺野纹理增多、散在点片状淡薄阴影而收住院治疗。病程中同时伴有左下肢疼
1 Medical record summary The patient, male, is 23 years old. Because of cough, cough with fever for 3 months, blood stasis 20 days, admitted to hospital on March 11, 1993. Before going to hospital in March due to cold cough, runny nose, at the time thought that “cold” untreated, gradually improved, but still cough, half a month ago due to fatigue cough increased, with a small amount of sputum, when there was no fever, chest pain, hemoptysis. To take the “cough medicine and antibiotics” and other treatment is invalid, the use of penicillin intravenous drip 10d invalid, and the increase in sputum volume with blood stasis, breathing difficulties after the activity. The x-ray chest radiographs showed increased texture in the lower right lung field and scattered thin shadows on the spot to receive hospital treatment. Accompanied with left lower limb pain during the course of the disease