男性，30岁。乏力盗汗1个月余，咳痰带血 两天，既往胸膜炎病史，X片示左肺尖密度不均 影；ESR 30mm/h,WBC. 6 .0X109/L。要判断该病处于活动期需了解哪项病史， 以便制定正确治疗方案

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