患者，男，28岁。4天前因受凉，出现寒战、发热、咳嗽、咳铁锈色痰，胸痛。体格检査:体温39.2，急性热病容，鼻翼扇动，双肺语颤增强，叩诊浊音。心率128次/分。X线可见右上肺大片浸润阴影，血白细胞13X109/L。该患者治疗首选

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