患者男性,15岁,以高热25d,咳大量脓血性臭味痰18d 于1991年4月10日入院。25d前受凉后发热,体温38.5℃,咳嗽,咳白色粘痰伴左上胸隐痛。胸透左上肺有淡薄阴影。用青、链霉素1周无效,上述症状加重,咳大量脓血性臭味痰,100～300ml/d,X 线胸片:左肺上野可见不均匀密度增高影,其间有3cm×7cm 透光区,内壁清楚光整(图1)。诊为“左上肺脓肿”,给大量青霉素、氨苄青霉素 Male patient, 15 years old, with high fever 25d, cough, a large number of purulent bloody stool sputum 18d on April 10, 1991 admitted. 25d before the cold, fever, body temperature 38.5 ℃, cough, cough, white phlegm with left upper chest pain. Chest through the left lung have a light shadow. With blue, streptomycin 1 week invalid, the above symptoms, cough, a large number of purulent bloody odor sputum, 100 ~ 300ml / d, X-ray: left Ueno uneven density can be seen increased shadow, during which 3cm × 7cm light District, the inner wall clear and smooth (Figure 1). Diagnosis as “left upper lung abscess” to a large number of penicillin, ampicillin