患者李某,男,30岁,农民,因发烧、胸痛于1993年7月在当地县医院经拍胸片诊为“结核性胸膜炎”,给SM.INHEMB治疗,症状渐好转;用药3个月因肝功能异常而停止治疗。1994年3月初又出现低热伴全身乏力、食欲不振,于4月4日入本院。既往无肝炎病史及接触史,无肾病史。 查体:T37.3℃,P80次/分,R20次/分, Patient Lee, male, 30 years old, farmer, because of fever, chest pain in July 1993 in the local county hospital filming chest X-ray diagnosis of tuberculous pleurisy, to SM.INHEMB treatment, the symptoms gradually improved; medication 3 months Due to abnormal liver function and stop treatment. In early March 1994, there was another fever with malaise and loss of appetite, which was admitted to our hospital on April 4. No past history of hepatitis and exposure history, no history of kidney disease. Physical examination: T37.3 ℃, P80 beats / min, R20 beats / min,