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例1,男性,农民.因受凉后高热4天,咳嗽3天伴胸痛,经青霉素、双黄莲治疗无效,于1997年7月11日入院.体检:右下肺可闻及湿性罗音.血白细胞数11.5×10~9/L.,中性占90%.胸片示左下肺野大片高密度阴影,基底部位于侧胸壁.考虑左下肺炎、肺脓疡,以培氟新、灭滴灵治疗,3天后体温下降,胸痛、咳嗽消失.复查胸片、B超示左下胸包裹性积液,穿刺抽出淡黄色液体40ml,送检细胞数8.0
Example 1, male, farmer .Because cold and fever for 4 days, cough for 3 days with chest pain, penicillin, Shuanghuanglian treatment ineffective, admitted to hospital on July 11, 1997. Physical examination: the right lower lung can be heard and wet rales. Blood white blood cells 11.5 × 10 ~ 9 / L., Neutral 90%. Chest radiograph showed a large area of high-density shadow of the left lower lung, the basal side of the lateral chest wall. Considering the lower left pneumonia, lung abscess, Psychotherapy, 3 days after the temperature drop, chest pain, cough disappeared. Review of the chest X-ray, B ultrasound showed the lower chest thoracic fluid, puncture the pale yellow liquid 40ml, the number of cells to be tested 8.0