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1病例资料女,64岁。因呼吸困难、咳嗽、咳痰、高热发作2周而入院。患者2周前因劳累后出现乏力、发热、体温最高达39.5℃,伴有咳嗽及咳脓痰、胸痛、痰血等不适曾去当地卫生所就诊,应用头孢唑啉钠等药物,给予抗感染对症治疗,疗效不佳,转入本院。查体:体温38.5℃,脉搏120/min,血压110/80mmHg,呼吸25次/min。肺部听诊,左上肺呼吸音低,可闻及细湿啰音,叩诊呈浊音;右肺呼吸音稍粗,叩诊呈清音
1 case information Female, 64 years old. Due to dyspnea, cough, sputum, hyperthermia attack for 2 weeks and admitted to hospital. Two weeks ago, the patient developed fatigue due to exertion, fever, body temperature up to 39.5 ℃, accompanied by cough and cough purulent sputum, chest pain, sputum and other discomfort had visited the local health clinic, the application of cefazolin sodium and other drugs, given anti-infection Symptomatic treatment, poor efficacy, transferred to the hospital. Physical examination: body temperature 38.5 ℃, pulse 120 / min, blood pressure 110 / 80mmHg, breathing 25 times / min. Auscultation of the lungs, low left lung breath sounds, can be heard and fine wet rales, percussion was voiced; right lung breath sounds a little rough, percussion was voiced