1病历摘要男,58岁。咳嗽、乏力、进行性气促1个月,伴消瘦、低热(最高体温38.5℃),无咯血及盗汗。在乡卫生院按上呼吸道感染,陈旧性肺结核治疗1个月,体温波动在36~37.8℃,气促、咳嗽等症状进行性加重而入院。4a前曾患肺结核,口服抗结核药物3个月自动停药(具体方案不详),抽烟史25 1 medical record summary male, 58 years old. Cough, fatigue, progressive shortness of breath 1 month, with weight loss, fever (maximum body temperature 38.5 ℃), no hemoptysis and night sweats. In the township hospitals according to the upper respiratory tract infection, old tuberculosis treatment for 1 month, body temperature fluctuations in 36 ~ 37.8 ℃, shortness of breath, coughing and other symptoms progressive admission. 4a had previous pulmonary tuberculosis, oral anti-TB drugs automatically discontinued 3 months (the specific program is unknown), smoking history 25