1临床资料患者男,34岁,飞行教员,飞行时间1700h,有青霉素过敏史。因间歇发热、咽喉疼痛3d,口服复方碘胺甲口恶唑效果欠佳复诊。体检:急性病容,体温38.4℃,脉搏78次/min,呼吸18次/min,血压105/66mmHg,意识清醒。咽部充血,双侧扁桃体充血,左侧Ⅰ度肿大,右侧Ⅱ度肿大,无脓点。双肺 1 Clinical data Patient male, 34 years old, flight instructors, flight time 1700h, a history of penicillin allergy. Due to intermittent fever, sore throat 3d, oral compound iodine methyl bromide oxazole ineffective referral. Physical examination: acute disease, body temperature 38.4 ℃, pulse 78 beats / min, breathing 18 beats / min, blood pressure 105 / 66mmHg, conscious. Pharyngeal hyperemia, bilateral tonsil hyperemia, Ⅰ degree on the left side of the swelling, right side Ⅱ degree enlargement, no suppurative point. Double lungs