患者 ,女 ,71岁。主因咳嗽 ,咳痰伴有发热 6个月 ,胸痛、消瘦 1个月。于 6月前无诱因出现咳嗽 ,较剧烈 ,呈刺激性呛咳 ,痰呈白色粘痰及黄色脓痰 ,时有发热 38～ 39度。胸透 :右肺上叶有较均匀实变影。拟诊 :右肺脓肿。经青霉素治疗 1月后 ,咳嗽 ,发热有所好转。近 1个月出现右 Patient, female, 71 years old. Mainly due to cough, cough with fever for 6 months, chest pain, weight loss 1 month. There was no incentive for coughing before June, and it was more severe. It was irritating and coughing. The sputum was white, sticky, and yellow pustules. There was a fever of 38-39 degrees. Chest : The right upper lobe has a more uniform solid shadow. To be diagnosed: right lung abscess. After penicillin treatment for one month, coughing and fever improved. Appeared right in the last month