病历摘要患者男性，41岁，因发热伴咳嗽40天，于1999年7月10日入院。患者40无前因受冻出现发热并咳嗽，发热37．2－38℃，咳少量白痰，无咯血，无乏力、盗汗及胸痛。胸片（图1）示：“右肺上叶炎症”。在外院曾静脉滴注青霉素、氧哌嗪青霉素治疗8天，疗效差。拟诊肺结核，给予 Medical record Summary Male patient, 41 years old, due to fever with cough for 40 days, was admitted to hospital on July 10, 1999. Patients with fever and cough 40 without any anomalies due to cold, fever 37.2-38 ℃, cough a small amount of sputum, no hemoptysis, no fatigue, night sweats and chest pain. Chest radiograph (Figure 1) shows: “Right upper lobe inflammation.” In the outer courtyard had intravenous penicillin, piperacillin penicillin treatment for 8 days, poor efficacy. To be diagnosed with tuberculosis, given