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患者,男,53岁,因低热月余、咳嗽、双胸痛半月于1990年6月29日入院。查体:T38.9℃,R22次/分,全身浅表淋巴结无肿大。双睑结膜充血,角膜见浅表溃疡,胸部对称,双肺呼吸音粗,闻及散在干湿性罗音,无胸膜摩擦音,心脏及腹部未见异常。实验室检查:血WBC10.0*10~9/L,N0.82,L0.18,Hb82g/L,RBC 2.7X10~12/L,ESR93 mm/h,C-RP130mg/L,血β_2—MG>10500ng/ml,尿β_2—MG>2500ng/ml。X线胸片:双肺纹理增强、紊乱,双肺野见多个大小不等的片状模糊阴影。纤支镜检查见双肺各叶、段及所见亚肺段支气管壁弥漫性充血、水肿。入院后应用红霉素及丁胺卡那霉素、异烟肼等联
The patient, male, 53 years old, was admitted to hospital on June 29, 1990 due to fever, cough and double chest pain. Physical examination: T38.9 ℃, R22 times / min, systemic superficial lymph nodes without swelling. Eyelid conjunctival hyperemia, see the superficial corneal ulcers, chest symmetry, lung breath sounds thick, smell and scattered in wet and dry rales, no pleural friction sound, no abnormalities in the heart and abdomen. Laboratory tests: Blood WBC10.0 * 10-9 / L, N0.82, L0.18, Hb82g / L, RBC 2.7X10-12 / L, ESR93 mm / h, C-RP130mg / > 10500ng / ml, urinary β_2-MG> 2500ng / ml. X-ray: double lung texture enhancement, disorder, lung field see a number of different sizes of fuzzy shadow sheet. Bronchoscopy to see the leaves of the lungs, segments and sub-pulmonary segments seen diffuse congestion, edema. Application of erythromycin and amikacin after admission, isoniazid and other joint