患者 ,男 ,60岁。于 1998年 5月 2 8日入院。入院6个多月前开始咳嗽 ,痰多伴气促 ,曾在我院内科住院3次 ,经用氨苄青霉素 ,环丙沙星等药治疗无效 ,多次摄片为双下肺弥漫小结节影、陈旧性肺结核 ,曾疑诊为肺泡癌、支气管结石 ,纤支镜检查两次双肺支气管充血水肿有较多脓液 ,活检 Patient, male, 60 years old. Admitted to hospital on May 28, 1998. More than 6 months before admission began to cough, sputum and more with shortness of breath, was hospitalized in our hospital 3 times, with ampicillin, ciprofloxacin and other drugs ineffective, multiple radiographs for the double lower lung diffuse nodules Shadow, old tuberculosis, had been suspected of alveolar cancer, bronchial calculi, bronchoscopy two lungs bronchial congestion edema more pus, biopsy