患者,男,53岁。50 d前无明显诱因突然出现右侧肢体活动障碍伴意识障碍,大小便失禁,在当地医院诊断为“脑出血”,行开颅手术并气管切开术,术后患者意识渐恢复。20 d前出现发热,体温37·5℃以上,不伴寒战、高热,痰多,痰液为白黏痰,给予抗炎治疗后症状无改善。1周前突然大咯血,出 Patient, male, 53 years old. 50 d before no obvious incentive suddenly appeared on the right limb movement disorders with disturbance of consciousness, incontinence, at the local hospital diagnosed as “cerebral hemorrhage”, craniotomy and tracheotomy, patients gradually recovered consciousness. 20 days before the onset of fever, body temperature 37 · 5 ℃ above, without chills, fever, phlegm, phlegm white sticky sputum, giving anti-inflammatory treatment no improvement in symptoms. A week ago suddenly a big hemoptysis, out