患者50岁,男性,因反复咯血7年余,此次大咯血10天,总量约4000ml,拟诊右肺化脓症,肺癌待排,收住我院外科治疗。 体检 消瘦,严重贫血,Hb41g/L。颈静脉无怒张,气管居中,锁骨上淋巴结阴性,右中上肺野可闻及少许细湿罗音,痰找抗酸杆菌二次阴性,痰霉菌培养为“白色念球菌生长”。胸部X片示“右上中 The patient was 50 years old and male, because of repeated hemoptysis for more than 7 years, the hemoptysis was 10 days and the total volume was about 4000 ml. The patient was diagnosed with right lung pyogenic disease, lung cancer was discharged, and he was admitted to our hospital for surgical treatment. Physical examination weight loss, severe anemia, Hb41g/L. The jugular vein had no engorgement, the trachea was centered, and the supraclavicular lymph nodes were negative. The right middle and upper lung fields could be heard with a few fine wet rales. The second negative sputum of acid-fast bacilli was found. The sputum culture was “white candida.” Chest X-ray shows "upper right middle