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患者,男性,19岁,住院号109966,X线号29943。自述间断性咯血月余,咳血有时为鲜红或暗红色。少量咳嗽、无痰、咯血后疲乏。就诊前感病情加重、气急、寒战、高热。体温38℃,脉搏120次/分,血压98/64毫米汞柱,呼吸50次/分,左肺腋下及肺底、右肩胛区可闻及湿性啰音,心脏各瓣膜区未闻及病理性杂音。肝脾未触及,家族史无可参考。红细胞425万,白总分19,000,中性75％、淋巴18％、嗜酸性粒细胞1％、嗜碱性粒细胞2％。痰:红细胞+++,白细胞0—2/高。83年10月28日X线胸片:双肺分布有片状和斑点状阴影,有的已融合呈大片状。密度并不很高,部分阴影较淡薄,以内中带为明显,
Patient, male, 19 years old, hospital number 109966, X-ray 29943. Intermittent intermittent hemoptysis more than a month, hemoptysis sometimes bright red or dark red. A small amount of cough, no sputum, hemoptysis after fatigue. Pre-treatment flu exacerbations, shortness of breath, chills, fever. Body temperature 38 ℃, pulse 120 beats / min, blood pressure 98/64 mm Hg, breathing 50 beats / min, the left lung axillary and the bottom of the lung, the right scapular area can be heard and wet rales, the heart valve area is not known and pathology Sexual murmur. Liver and spleen not touched, family history no reference. 4.25 million erythrocytes, white total score 19,000, 75% neutral, lymphatic 18%, eosinophils 1%, basophils 2%. Phlegm: red blood cells +++, white blood cells 0-2 / high. October 28, 83 X-ray: the lungs have a patchy and spotted shadows, and some have been merged into large patches. The density is not very high, some of the shades of light, with the middle band as obvious,