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1 病历摘要患者,女,44岁。因咳嗽、咯痰曾在巢湖市立医院就诊。诊断肺结核,给予HR治疗6个月,症状明显好转后停药。2个月后因咳嗽、低热、盗汗2周来本院就诊。胸片提示:右下浸润型肺结核伴空洞形成;右下支气管播散,给予HRS2抗痨治疗、青霉素、先锋霉素V号抗感染及小剂量地塞米松等治疗,咳嗽、咯痰等症状控制,但体温却持续上升,每于傍晚达40℃,给复方奎宁2ml肌注3天无效。查体:贫血貌,
1 Medical record summary The patient, female, is 44 years old. Due to cough and expectoration, she had visited Chaohu City Hospital. Diagnosis of pulmonary tuberculosis, HR treatment for 6 months, after the symptoms improved significantly after discontinuation. Two weeks later, I was admitted to the hospital for cough, fever, and night sweats. Chest radiograph: right infiltrative pulmonary tuberculosis with cavitation; right lower bronchus spread, given HRS2 anti-tuberculosis treatment, penicillin, cephalosporin V anti-infection and low-dose dexamethasone treatment, cough, expectoration and other symptoms control However, the body temperature continued to rise, and every evening in the evening reached 40 °C, the intramuscular injection of compound quinine 2ml was invalid for 3 days. Physical examination: anemia appearance,