患者,男性,75岁,休干。既往有2型糖尿病、慢性支气管炎病史,1996年5月始轻度咳嗽,咳少许白色泡沫样痰,未予治疗,2周后症状加重,伴乏力,低热,精神不振,以午后为著,体重明显下降,体检:T:37.8℃,R:18/分,P108/分,BP150/80mmHg。锁骨上及腋下未触及肿大的淋巴结,桶状胸,叩诊两肺过清音,左肺肩胛区可闻及少许湿罗音,右肺呼吸音粗糙,心腹无异常。下肢无压陷性水肿,无杵状指(趾)。 Patient, male, 75 years old, resting. Past history of type 2 diabetes mellitus, chronic bronchitis, mild cough in May 1996, cough a little white foam-like sputum, no treatment, 2 weeks after the onset of symptoms, with fatigue, fever, lack of energy, in the afternoon, Weight decreased significantly, physical examination: T: 37.8 ℃, R: 18 / min, P108 / min, BP150 / 80mmHg. Supraclavicular and underarm untreated swollen lymph nodes, barrel chest, percussion lungs over the voiceless, left lung scapular area can smell a little wet rales, right lung breath sounds rough, no abnormal constellation. Lower extremity without sessile edema, without clubbed fingers (toes).