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例1:患者女,40岁。因活动后心慌、气短,咯白色粘痰于1984年5月10日以风湿性心脏病二尖瓣狭窄入院。经使用肾上腺皮质激素抗风湿,利尿等治疗后上述症状好转。8月20日再度出现咳嗽咯痰加重,左季肋部疼痛。查体:左胸呼吸运动受限,语颤减弱,可闻及干湿性罗音。9月2日发热,体温38.5℃。化验:白细胞220×10~9/L,中性0.82。胸透:左侧胸腔积液。先后5次胸腔穿刺,抽出大量脓液。5次脓液培养为同种细菌,但无法鉴定菌种。9月15日行胸
Example 1: Female patient, 40 years old. After the event because of palpitation, shortness of breath, slightly sticky phlegm on May 10, 1984 with rheumatic mitral stenosis admitted. After the use of adrenal cortex hormones such as rheumatism, diuretic and other symptoms improved after treatment. August 20 reoccurring cough expectoration increased the pain in the left quarter ribs. Physical examination: left chest breathing restricted, weakened tremor, can be heard and wet and dry rales. September 2 fever, body temperature 38.5 ℃. Laboratory tests: white blood cells 220 × 10 ~ 9 / L, neutral 0.82. Chest throat: left pleural effusion. Thoracentesis has 5 times, pumped a lot of pus. 5 times pus culture for the same bacteria, but can not identify strains. September 15 line chest