1 临床资料 患者,男性,34岁,于1989年7月8日起乏力、发热,咳嗽、咳痰、痰中带血,9日感左侧胸痛、胸闷、气急入院。以往酗酒15年,每天白酒0.5kg。查体:BP8.0/4.0kPa,T38.6℃,呼吸44次/min,左肺语颤弱,左腋下叩诊显浊音,左侧呼吸音减弱,有广泛湿音,并可闻及胸膜摩擦音。HR130次/min,律齐,无病理性杂音、动脉血气pH7.432,PaCO_2 2.92kPa,PaO_2 6.905kPa,HCO_3~- 18.1 mmol/L。9日胸片示左 1 Clinical data Patients, male, 34 years old, from July 8, 1989 fatigue, fever, cough, sputum, bloody sputum, 9th left chest pain, chest tightness, shortness of breath hospitalized. In the past 15 years of alcoholism, white wine 0.5kg. Examination: BP8.0 / 4.0kPa, T38.6 ℃, breathing 44 beats / min, weak left lung language, left underarm percussion was dull, left breath sounds weakened, with extensive wet sound, and can be heard and the pleura Friction. HR130 times / min, Law Qi, no pathological murmur, arterial blood gas pH7.432, PaCO_2 2.92kPa, PaO2 6.905kPa, HCO_3 ~ - 18.1 mmol / L. On the 9th chest showed left