患者男,70岁,因右胸锁关节疼痛、肿胀3月,加重伴咳嗽、咳痰20d入院。既往体健,无吸烟史。患者3月前无明显诱因出现右胸锁关节肿胀、疼痛,为持续性剧痛,无放射痛,先后在本院门诊以“关节炎”局部封闭治疗5次,疼痛无减轻。20d前,患者右胸锁关节肿痛加剧,并出现咳嗽,咳多量黄痰及发热、发冷,无痰中带血及胸痛。X线检查诊为左下肺炎。静滴先锋霉素 Male patient, 70 years old, admitted to hospital because of pain and swelling of the right chest lock joint in March, aggravated with cough and sputum. Past health, no history of smoking. The patient had no obvious cause of swelling and pain in the right chest lock joint 3 months before. The patient experienced persistent severe pain and no radiating pain. She had been treated with “arthritis” for 5 times in the outpatient department of this hospital and the pain was not relieved. Before 20 days, the patient’s right chest lock joints increased pain and swelling, coughing, coughing, and fever, chills, no sputum with blood and chest pain. X-ray examination for the left lower pneumonia. Intravenous drip