例1 男,23岁。1979年11月24日因发热20余天、咳血丝痰6～7天住本省闽清县医院。患者于20多天前吃热水烫的蟹腿后,全身出现荨麻疹、搔痒、腹痛及腹泻,继之持续发热,用抗菌素等无效。入院前一周咳嗽、痰带血丝,伴胸痛、食欲减退,同时头部、左肩、肘部、腹部陆续出现黄豆至蚕豆大小可活动的结节。入院时体温38.1℃。急性病容,眼眶凹陷。左腋下闻及湿性罗音。肝肋下2cm,轻 Example 1 male, 23 years old. November 24, 1979 due to fever more than 20 days, cough blood phlegm 6 to 7 days to live in Minqing County Hospital. Patient eaten uterus, itching, abdominal pain and diarrhea after consuming hot crab legs more than 20 days ago, followed by continuous fever, with antibiotics and other invalid. A week before admission cough, sputum with bloodshot eyes, with chest pain, loss of appetite, while the head, left shoulder, elbow, abdomen began to appear soybeans to the size of beans can nodules. Admission body temperature 38.1 ℃. Acute illness, orbital depression. Left axillary smell and wet rales. Liver ribs 2cm, light