患者 ,男 ,11岁 ,农村儿童。因发热、咳嗽 7ｄ,伴胸痛、气促 2ｄ,于 1999年 7月15日入院。患儿既往体健 ,常到野外玩耍。入院体查 :神清 ,急性病容 ,半坐位。右侧腋窝及腹股沟均可触及数个肿大的淋巴结 ,活动、有触痛。结膜充血。气管稍偏左 ,右中下肺及左下肺叩诊呈浊音 ,听诊 Patient, male, 11 years old, rural child. Due to fever, cough 7d, with chest pain, shortness of breath 2d, on July 15, 1999 admitted. In the past, children with healthy, often to the wild to play. Admission investigation: God clear, acute illness, half-sitting. Right axillary and groin can reach several swollen lymph nodes, activity, tenderness. Conjunctival hyperemia. Trachea slightly left, right lower lung and left lower lung percussion was voiced, Auscultation