呼吸病案剖析2(国外英文资料).docVIP

呼吸病案分析2 Respiratory system case analysis 2 (1) the patient, male, 23, was admitted in January for coughing, hemoptysis and fever. The patient developed a cough and haemoptysis after being cold in January, with less blood in the sputum. And have the afternoon fever, the highest temperature 38 ℃, is not associated with chills, the temperature can drop to normal. Night sweats are clear, appetite drops, sleep is bad. In the local health hospital, the treatment of venous antibiotics (unknown), the curative effect is not good, hence come to our hospital. Since the onset of the disease, the patient has had normal urination and has lost about 3 kilograms of weight. The history of infectious diseases such as tuberculosis and hepatitis is not known. Body check: T37.8 ℃ BP120/80 MMHG sclera skin does not have the yellow dye, bilateral supraclavicular lymph nodes, the ammonites, and a broad bean size border and clear, toughening, fixed, have tenderness. The neck is soft, the trachea is centered, the lung breath is clear, dry, wet. The heart is small, HR80 times, the law, no noise. More than (-). Blood elephant: WBC 9.0 * 10, 9 / L, N 56% X line: the two upper lungs see a cloud of cloud, the edge is blurred. Question: What is the diagnosis and diagnosis of the patient? What is the differential diagnosis? Do you need to perfect those auxiliary tests for a clear diagnosis? Describe the treatment principle? (2) the patient, male, 28, was admitted to hospital in three days for high fever, cough and chest pain. Three days ago in the rain after the high fever, the body temperature of 39.2 ℃, chills, cough, sputum, with the right side of the chest pain, cough, when no rash, haemoptysis. Ever body health. Body check: BP 100/60mmhg, acute thermal disease, oral herpes, lower right lower lung percussion, audible, and bronchial breath. The heart rate 96 beats, the law, no noise. The abdomen is soft, not sore, and the liver is not splenic. More than (-). Blood: WBC 11.0 x 10 9 / L N 86% X l