患者男,16岁。自幼易感冒,反复咳嗽、咳脓痰,时有鼻塞及气喘,流脓鼻涕,头痛。上述症状加重2个月,并全身浮肿,于1991年5月31日由当地医院转入。父母为姨表兄妹。体检:体温38℃,脉搏140次/分,呼吸28次/分,血压11/7kPa。呼吸困难,口唇发绀,颜面浮肿,副鼻窦压痛阳性,颈静脉怒张。桶 Male patient, 16 years old. Easy to catch a cold since childhood, repeated cough, cough purulent sputum, sometimes stuffy nose and asthma, purulent nasal discharge, headache. The above symptoms worsened for 2 months and had generalized edema, which was transferred from a local hospital on May 31, 1991. Parents aunt cousin. Physical examination: body temperature 38 ℃, pulse 140 beats / min, breathing 28 beats / min, blood pressure 11 / 7kPa. Breathing difficulties, cyanotic lips, facial edema, paranasal sinus tenderness, jugular vein engorgement. barrel