例1:男,13岁。因反复发作咳嗽、喘1年加重半月,于1992年4月28日入院。曾在当地用多种支气管扩张剂、消炎剂等治疗无效。体检:T36.6,P100,R50,体重18Kg,急重病容,半坐位,气促,呈呼气性呼吸困难,面色苍白,鼻翼扇动,唇周发绀。轻度桶形胸,三凹征明显,气管居中,双肺满布喘鸣音,肺底少许湿啰音。心、腹无异常。胸部X线片示右侧支气管炎,左侧肺气肿。余辅助检查无特 Example 1: Male, 13 years old. Due to recurrent cough, asthma exacerbated a half months, on April 28, 1992 admission. In the past with a variety of bronchodilators, anti-inflammatory agents and other treatment is invalid. Physical examination: T36.6, P100, R50, weight 18Kg, acute serious disease, half-sitting, shortness of breath, was exhaled breathing difficulties, pale, nose flap, cyanosis lip weeks. Mild barrel-shaped chest, three concave signs obvious, tracheal center, lungs covered with wheezing, a little wet rales at the end of the lungs. Heart, abdomen without exception. Chest X-ray showed right bronchitis, left emphysema. I auxiliary examination no special