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病史摘要 患者女,70岁,家庭妇女,因咳嗽、气急一天,于1983年3月4日来院急诊。患者于就诊前一日晚上起有咳嗽、气急、不能平卧,并有较多白痰,无发热,两便如常。数天前曾有左侧腰背疼痛。既往有慢性支气管炎史多年。两年前由区结防所拟诊为“肺癌”,给予“抗癌中西药”治疗两年。体检:慢性病容,消瘦,神志清楚,有气急和紫绀,体温36℃,脉搏90次/分,呼吸32次/分,血压90/50mmHg。气管居中。胸
Medical History Abstract A 70-year-old woman, a female family member, came to the hospital on March 4th, 1983 for an emergency because of coughing and shortness of breath. The patient had coughing, shortness of breath, inability to lie flat on the evening before the doctor’s consultation, and there were more white diarrhea, no fever, and two regular stools. A few days ago there was left lower back pain. There have been years of history of chronic bronchitis. Two years ago, she was diagnosed as “lung cancer” by the district’s defense department and was given “anti-cancer Chinese and western medicine” for two years. Physical examination: chronic conditions, weight loss, consciousness, anxiousness and cyanosis, body temperature 36°C, pulse 90 beats/min, respiratory rate 32 breaths/min, blood pressure 90/50 mmHg. Trachea centered. chest