患者男,29岁,油漆工。因高热、咳嗽、呼吸困难5d入院。患者5d前受凉后突然出现高热(稽留热,体温39℃),伴呼吸困难、咳嗽、痰中带血。于当地医院住院诊治,多次痰菌检查均阴性,经X线胸片、胸部CT检查,拟诊为“大叶性肺炎,感染性休克”。给予抗感染治疗、止血等对症处理,病情无好 Patient male, 29 years old, painter. Due to fever, cough, difficulty breathing 5d admission. Patients 5d before the sudden onset of high fever (missed heat, body temperature 39 ℃), with respiratory difficulties, cough, bloody sputum. Hospital diagnosis and treatment in the local hospital, multiple sputum tests were negative, the X-ray, chest CT examination, to be diagnosed as “lobar pneumonia, septic shock.” Give anti-infection treatment, hemostasis and other symptomatic treatment, the condition is not good