病历摘要患者张×,男,32岁。因发冷、发热、胸痛5天,咯血3天,尿血2天,于1983年12月7日入院,住院号30442。患者于5天前无明显诱因发冷、发热,两侧季肋部剧烈针刺样疼痛,深吸气加重,胸闷,呼吸困难。发病第3天开始咯血,每天3～5次,色暗红。翌日多次尿血,暗红色,伴腰痛酸楚,以右侧为著,小便 Patient summary Zhang ×, male, 32 years old. Due to chills, fever, chest pain for 5 days, hemoptysis for 3 days, hematuria for 2 days, on December 7, 1983 admission, hospital number 30442. The patient had no obvious cause of chills and fever 5 days ago. Severe acupuncture-like pain in quarter ribs on both sides, aggravated deep breathing, chest tightness, and difficulty breathing. 3 days onset of hemoptysis, 3 to 5 times a day, dark color. Many times the following day hematuria, dark red, with backache sore, with the right side, urine