患者男性,23岁,系上海市第二结核病院病例.咳嗽,咯血,低热37.2～37.5℃,胸透及摄片示右肺上叶片状阴影。诊断肺炎,抗炎治疗2周未吸收,疑为结核。再抗结核治疗3个月,X 线片复查见两肺病灶呈播散性。痰涂片中见数堆异型细胞。 The patient was male, 23 years old, who was the second TB patient in Shanghai. He had cough, hemoptysis, and low fever of 37.2 to 37.5°C. Chest radiographs and radiographs showed the upper lung blade-like shadow. Diagnosed pneumonia, anti-inflammatory treatment was not absorbed in 2 weeks, suspected tuberculosis. Anti-tuberculosis treatment for 3 months, X-ray review showed disseminated lung lesions. Several heaps of heterotypic cells are seen in the smear.