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患者男,61岁。因长期慢性咳嗽、咳痰,时有血痰20年,曾患肺结核。最近2年,黏液痰增多,虽经大剂量抗生素治疗好转,仍有咳嗽、咳痰或血痰。体检:营养较差,桶状胸,杵状指:听诊两肺呼吸音减弱,两下肺基底部闻及干啰音9妗?血生化检查未见异常。2年前胸部X线片显示气管、左右主支
Male patient, 61 years old. Due to long-term chronic cough, expectoration, when bloody sputum for 20 years, had tuberculosis. The last 2 years, mucus increased sputum, despite the improvement of high-dose antibiotics, there are still cough, sputum or bloody sputum. Physical examination: poor nutrition, barrel chest, clubbing refers to: auscultatory lung breath sounds weakened, two lung base smell and dry rales 9 妗? No abnormal blood biochemical tests. 2 years ago, chest X-ray showed the trachea, left and right main branch