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患者男,26岁。主因发热、咳嗽、咳痰7天于1997年3月5日入院。于入院前7天无明显诱因头晕、乏力、体温升高,最高达39.5℃,伴寒战。随后出现咳嗽、咳痰,以夜间为重,痰为灰黄色泡沫状,稀薄,易咳出,无咯血。曾于外院给予“感冒通,先锋必,庆大霉素”等多种药物,效果不明显。两天前拍胸片示:左侧肺门增大,收入我院。既往体健,无传染病接触史。近两年经常出差,有3年吸烟史。人院查体:体温38.6℃,脉搏100次,呼吸18次,血压18/10kPa。全身状况良好,精神欠佳,皮肤粘膜无黄染及出血点,浅表淋巴结未触及。气管居中。胸
Male patient, 26 years old. The main cause of fever, cough, sputum 7 days in March 5, 1997 admission. 7 days before admission no obvious incentive to dizziness, fatigue, increased body temperature, up to 39.5 ℃, with chills. Followed by cough, sputum to the night as heavy phlegm as a foamy, thin, easy to cough, no hemoptysis. Once given in the outer court “flu, vanguard, gentamicin” and other drugs, the effect is not obvious. Take a chest radiograph two days ago: the left hilar enlargement, income in our hospital. Past physical health, no history of contagious diseases. Nearly two years of business travel, smoking history of 3 years. People’s hospital examination: body temperature 38.6 ℃, pulse 100 times, breathing 18 times, blood pressure 18 / 10kPa. The whole body in good condition, poor health, skin and mucous membrane without yellow dye and bleeding, superficial lymph nodes not touched. Tracheal center. chest