病历摘要 男,13岁。因间断咳嗽10年,发热、胸痛9天就诊。10年来患儿经常咳嗽,约1～2个月1次,每次发热、咳嗽3～5天,经抗生素治疗后好转。1年前患肺脓肿,在当地县医院行胸腔引流治愈。近9天又出现咳嗽,吐白色粘痰,伴左侧胸痛,深吸气和咳嗽时加重。体温达39℃,在家用抗生素治疗5天,咳嗽渐加重。无异物吸入史,无结核病接触史,已接种卡 Medical summary Male, 13 years old. Intermittent cough 10 years, fever, chest pain 9 days treatment. 10 years children often cough, about 1 to 2 months 1 time, each fever, cough 3 to 5 days, improved after antibiotic treatment. 1 year ago suffering from lung abscess, chest drainage in the local county hospital cure. Nearly 9 days there cough, spit white phlegm, with left chest pain, deep breathing and coughing worse. Body temperature of 39 ℃, 5 days in the domestic antibiotic treatment, cough gradually heavier. No foreign body history of inhalation, no history of contact with tuberculosis, vaccinated card