患者，男，26岁。淋雨后突然寒战、髙热，第2天出现右侧胸痛，咳嗽、咳铁镑色痰。查体:体温39.5，急性病容，双肺语颤增强，叩诊浊音。心率121次/分。实验室检査：血白细胞14xl09/L，中性粒细胞占80%,X线可见右上肺大片实变影。该患者首选的西医治疗是

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