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男,27岁。因畏寒、高热、咳嗽、咯白色粘痰4d入院,既往无结核病史。体检:T39.4℃,P124次/min,R26次/min,BP17/10kPa。神清,热病容,浅淋巴结不肿大,头面部未见异常,颈部无抵抗,右下肺呼吸音略低,未闻罗音及病理性呼吸音,心(-),腹(-)。实验室检查:WBC12.3×10~9/L,NO.90,L0.10,ESR60mm/h。X线胸片示:右下肺透光度减低,中内带有斑片状模糊阴影,拟诊右下肺炎。先
Male, 27 years old. Due to chills, fever, cough, slightly white phlegm admission 4d, no previous history of tuberculosis. Physical examination: T39.4 ℃, P124 times / min, R26 times / min, BP17 / 10kPa. Shen Qing, fever, no swelling of the superficial lymph nodes, no abnormalities in the head and face, no resistance in the neck, slightly lower respiratory sounds in the lower right lung, unheard of rales and pathological breath sounds, heart (-), abdomen (-), . Laboratory tests: WBC12.3 × 10 ~ 9 / L, NO.90, L0.10, ESR60mm / h. X-ray showed: the right lower lung transparency decreased, with fuzzy patches in the shadow of the proposed diagnosis of right pneumonia. first