患者男,37岁。因咽痒、咳嗽半个月,加重伴发热3d,于2004-11-13入院。患者半年前有带状疱疹病史,在外院住院治疗后好转。近3个月消瘦、乏力,无盗汗、午后低热及腹泻。查体:体温39.4℃,呼吸30/min,血压116/78mm Hg,神志清楚,精神萎靡,口唇紫绀。呼吸急促,两肺呼吸音粗,两下肺少量 Male patient, 37 years old. Due to itchy throat, cough for half a month, aggravating fever 3d, admission in 2004-11-13. Herpes zoster history of patients six months ago, outside the hospital after hospitalization improved. Nearly 3 months wasting, fatigue, no night sweats, afternoon fever and diarrhea. Physical examination: body temperature 39.4 ℃, breathing 30 / min, blood pressure 116/78 mm Hg, conscious, apathetic, cyanotic lips. Shortness of breath, coarse breath sounds of both lungs, two small lungs