1病例报告患者男,96岁。因慢性支气管炎、阿尔茨海默病、冠心病、高血压病、2型糖尿病、多发性脑梗死和慢性贫血长期住院。于2011年4月27日中午出现呕吐,下午出现气喘,两肺听诊可闻及湿性啰音和哮鸣音,静脉滴注氨茶碱0.25g后肺内哮鸣音好转。次日出现体温上升,X线胸片示两下肺斑片状影,以右下肺为重。血常规:白细胞计数12.1×109/L,中性粒细胞0.62,血 A case report Male patient, 96 years old. Long-term hospitalization for chronic bronchitis, Alzheimer’s disease, coronary heart disease, hypertension, type 2 diabetes, multiple cerebral infarction and chronic anemia. Vomiting at noon on April 27, 2011, wheezing in the afternoon, auscultation in both lungs, and wet rales and wheeze. Intravenous wheezing improved after intravenous infusion of 0.25g aminophylline. The next day the body temperature rose, X-ray showed two lung patchy shadow to the right lower lung as the most important. Blood: white blood cell count 12.1 × 109 / L, neutrophils 0.62, blood