病历摘要患者女性,2 8岁,因发热伴咳嗽、咳痰2周于2 0 0 2年11月2 5日以“左下肺炎”入院。患者2周前因劳累后出现乏力、发热、体温最高达39 7℃,伴有咳嗽及咳黄脓痰。无胸闷、胸痛、痰血等不适曾去某医院就诊,胸片示:“左下肺炎”。血白细胞6 3×10 9/L ,中性粒细胞0 73,经 Medical record Summary Female patient, 28 years old, due to fever with cough, sputum for 2 weeks on November 25, 2002 to “lower left pneumonia” admission. Patients 2 weeks ago due to fatigue after fatigue, fever, body temperature up to 397 ℃, accompanied by cough and cough Huangpi sputum. No chest tightness, chest pain, sputum and other discomfort had to go to a hospital for treatment, chest X-ray showed: “left lower pneumonia.” Blood leukocytes 6 3 × 10 9 / L, neutrophils 0 73, after