女,39岁,因反复咳嗽、气喘4年,于1989年8月21日以“支气管哮喘、哮喘持续状态”收入院。月经13[3～5(天)/28～30(天)],LMP1989年8月19日。查体:体温37.8℃,呼吸28次/分,血压16/9kPa。神清,端坐位,口唇指(趾)端发绀。双肺叩诊呈清音,双肺均可闻及哮鸣音。心率120次/分,律齐。X线胸片示双肺透光度增强,双下肺纹理增多,呈网状。入院后经用“氨苄青霉素、氨茶硷,氢化可的松”等治疗,哮喘症状完全缓解。住院观察3个月,发现患者每月月经来潮时均出现类似发作一次。追问病史,患者近4年来,每年均出现阵发性气喘、呼吸困难,呈周期性,于月经来潮时诱发或症状加重。近1年来,周期更为明显,均于月经来潮时出现不同程度的上述症状和体征,持续3～5天,可自行缓解或氨茶硷、皮质激素治疗 Female, 39 years old, due to repeated cough, asthma for 4 years, on August 21, 1989 to “bronchial asthma, asthma sustained state” income hospital. Menstrual period 13 [3-5 (day) / 28-30 (day)], LMP August 19, 1989. Physical examination: body temperature 37.8 ℃, breathing 28 beats / min, blood pressure 16 / 9kPa. Clear, sitting, lips (toe) end of cyanosis. Pulmonary percussion was clear voice, both lungs can smell wheeze. Heart rate 120 beats / min, law Qi. X-ray showed enhanced lung permeability, double lungs under the texture increased, was reticular. After admission by “ampicillin, aminophylline, hydrocortisone” and other treatment, symptoms of asthma completely relieved. Hospitalized for 3 months and found that patients with menstrual cramps each have a similar episode once. Asked the medical history, the patient nearly 4 years, every year are paroxysmal asthma, dyspnea, cyclical, induced or worsening menstrual cramps. The past one year, the cycle is more obvious, are in the menstrual cramps appear in varying degrees of the above symptoms and signs for 3 to 5 days, can be relieved or aminophylline, corticosteroid therapy