1 病例 患者,男性,23岁,四川省甘孜州道镥县人。因“反复咳嗽、咳痰6个月,加重伴发热1周”于2002年11月入院。病程中有不规则发热,最高达38.5℃,近1周咳大量黄色黏性脓痰,有粉皮样物,偶有痰中带血丝,并感胸闷、气促。患者在12岁前生活于西藏牧区,与牛、羊、狗有密切接触史。入院 A patient, male, 23 years old, from Dao County, Ganzi Prefecture, Sichuan Province. Due to “repeated cough, expectoration for 6 months, increased with fever for 1 week” was admitted in November 2002. Irregular fever in the course of the disease, up to 38.5 ℃, nearly 1 week cough a large number of yellow viscous purulent sputum, vermilion, occasional sputum with bloodshot eyes, and chest tightness, shortness of breath. Before the age of 12, the patient lived in pastoral areas in Tibet and had close contact with cattle, sheep and dogs. Admission