患者 ,男 5 5岁。因持续发热半天 ,伴咳嗽、解酱油色尿而来就医。患者于 1994年 2月 13日上午发热 ,体温 38℃ ,咽喉不适 ,咳嗽无痰 ,未予治疗。下午精神恍惚 ,解酱油色尿 1次 ,约 2 0 0 m l。在院外使用青霉素治疗后 ,因病情加重 ,于晚上 9时转入我院。入院时咯铁锈色痰及血痰 Patient, male, 5 5 years old. Due to persistent fever for a long time, with cough, soy sauce and urine solution for medical treatment. Patients in the morning of February 13, 1994 fever, body temperature 38 ℃, throat discomfort, no cough without sputum, no treatment. Afternoon trance, soy sauce solution 1 times, about 200 m l. In the hospital after the use of penicillin treatment, due to aggravating conditions, at 9 pm transferred to our hospital. Slightly rusty phlegm and bloody sputum on admission