1病例资料男性,59岁,退休工人,因“发热、咳嗽、咳黄痰3d”于2016年7月4日入院。患者于3d前无诱因出现发热、咳嗽、咳少量黄痰,自测体温最高约39.5℃,发热前无寒战,就诊于当地医院。血常规:白细胞(WBC)12.10×109/L,中性粒细胞(N)0.932,红细胞(RBC)2.68×1012/L,血红蛋白(Hb)85.00g/L,血小板212×109/L;尿常规:白细胞(),蛋白质();肝功能:白蛋白(ALB)28.1g/L。给予头孢哌酮钠舒巴坦钠静滴治疗后,咳嗽、咳黄痰症状略好转,但 1 Case Information Male, 59 years old, retired workers, due to “fever, cough, cough yellow sputum 3d ” on July 4, 2016 admission. The patient had fever, cough and cough with small amount of yellow sputum before the 3rd day. The highest temperature of self-test was about 39.5 ℃. There was no chills before fever, and he was seen at a local hospital. Blood routine: white blood cells (WBC) 12.10 × 109 / L, neutrophils (N) 0.932, red blood cells (RBC) 2.68 × 1012 / L, hemoglobin (Hb) 85.00g / L, platelets 212 × 109 / L; : White blood cells (), protein (); liver function: albumin (ALB) 28.1g / L. Given intravenous cefoperazone sodium and sulbactam treatment, cough, cough, yellow sputum symptoms slightly improved, but