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患者,男性,32岁,已婚,因慢性咳嗽咳痰伴低热盗汗一年、咯血痰一月于1982年5月15日入院,住院号:820396。胸片右肺野及左中下肺见斑片云絮状阴影,密度不均,边缘不清,右侧肋膈角变钝。痰涂片未找到抗酸杆菌。入院前曾不规则使用异烟肼,链霉素约6个月。既往无心脏病史和药物过敏史。诊断为Ⅲ(上中下)/(中下)涂(一)进展伴咯血、右侧胸膜炎。给予异烟肼0.3克/天、利福平0.45/天和乙胺丁醇0.75/天顿服,同时肌注止血敏及安洛血(两周后咯血止即停用)。6月19日,患者突然畏寒发热,体温38℃,伴全身搔
Patient, male, 32 years old, married, with cough and expectoration due to chronic cough and phlegm for one year. Hemoptysis sputum was admitted to hospital on May 15, 1982, and hospital number 820396. Chest radiograph of the right lung field and the left lower lung see patchy flocculent shadow, uneven density, unclear edge, the right costal diaphragmatic angle dull. Sputum smear did not find acid-fast bacilli. Before the hospital had irregular use of isoniazid, streptomycin about 6 months. No past history of heart disease and drug allergy. Diagnosed as Ⅲ (upper middle) / (middle) Tu (a) progress with hemoptysis, right pleurisy. Isoniazid 0.3 g / day, Rifampicin 0.45 / day and ethambutol 0.75 / Dayton clothing, and intramuscular injection of anti-Hemorrhoidal and Anluo blood (two weeks after the stop bleeding). June 19, the patient suddenly chills fever, body temperature 38 ℃, with systemic scratching