患者男 ,40岁。因间断咳嗽、高热 4个月 ,以肺结核于2 0 0 1年 9月 4日收入院。入院前 4个月 ,无明显诱因咳嗽 ,少量白痰 ,偶有血丝。每日午后低热 ,傍晚体温达 3 9℃左右 ,无夜间盗汗及其他伴随症状。服解热镇痛药体温下降4h后复升。间断出现黑便 ,考虑解热阵痛药所致 ,胃镜 : Male patient, 40 years old. Due to intermittent cough, fever for 4 months to tuberculosis in September 4, 2001 income hospital. 4 months before admission, no obvious incentive cough, a small amount of white sputum, occasional bloodshot eyes. Daily afternoon fever, evening temperature up to about 39 ℃, night sweats and other no accompanying symptoms. Antipyretic antipyretics body temperature fell 4h after the rise. Intermittent melena, consider antipyretic pain caused by gastroscopy: