病史摘要 男性,70岁,因剧烈咳嗽、胸痛伴咯血于1986年11月8日入院。入院前1天咯鲜血约300ml,无发热,慢支史有25年,近2年来咳嗽加剧、气急、心慌、胸闷。胸片示两肺纹理增多,吸烟史34年,每天40支。20年前因胃溃疡行胃大部切除术。 Medical History Abstract Male, 70 years old, admitted to hospital on November 8, 1986 due to severe cough, chest pain, and hemoptysis. One day before admission, he had about 300 ml of blood, no fever, and 25 years of history of chronic bronchitis. In the past two years, his cough has increased, his breathiness, palpitation, and chest tightness. The chest radiograph showed an increase in the texture of the two lungs. The history of smoking was 34 years and 40 cigarettes per day. Twenty years ago, gastrectomy was performed due to gastric ulcer.