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病史摘要患者男性,62岁。1982年12月因午后低热、盗汗、纳差、咳嗽、胸闷3个月,胸片示右中肺野内带(侧位在下叶背段)大片密度增高模糊阴影,考虑为肺部炎症第一次收住院。当时血象、血沉均正常.痰找抗酸杆菌及癌细胞各3次均为阴性。经青、链及红霉素治疗,体温下降,咳嗽好转。胸片示肺部炎症稍吸收,住院20天出院。1983年9月又以发热、胸闷、咳嗽2个月第二次住院。入院后,周围白细胞10,000～15,000,中性80～85%;血沉78～110mm/h,AKP23~(?),AFP阴性。痰找抗酸杆菌及癌细胞均阴性。胸片示右肺门
Summary of patient history Male, 62 years old. December 1982 due to afternoon low fever, night sweats, anorexia, coughing, chest tightness for 3 months, chest X-ray showed the right lung in the field with (laterally in the lower lobe of the back) large areas of increased density fuzzy shadow, considered the first time the lung inflammation received Hospitalized. At that time blood, ESR were normal sputum acid-fast bacilli and cancer cells were negative for 3 times. Green, chain and erythromycin treatment, body temperature decreased, cough improved. Chest radiography showed a slight absorption of lung inflammation, hospital discharge 20 days. In 1983 September with fever, chest tightness, cough 2 months the second hospitalization. After admission, white blood cells around 10,000 to 15,000, 80 to 85% neutral; ESR 78 ~ 110mm / h, AKP23 ~ (?), AFP negative. Sputum looking for acid-fast bacilli and cancer cells were negative. Chest radiograph showed right hilar