例1 男性,75岁,汉族。慢性咳嗽20多年,近10年来反复阵发性喘息。本次于入院前一月感冒后发热,哮喘发作不能缓解,外院治疗无效,以重症哮喘收入我院。无过敏史。查体:血压14/10kPa,呼吸24次/分,脉搏120次/分,神志清楚,中度发绀,端坐呼吸,高度呼吸困难,说话不成句,桶胸,双肺呼吸音低,弥漫哮鸣音,中下肺少量湿性罗音,全身无水肿。实验室检查:白细胞6.9×10~9/L,中性0.8,淋巴0.20,血红蛋白126g/L,血清离子、肝功、尿素氮、肌酐均正常,心电图:肺型P液,右室肥厚伴劳损,频发房早。 Example 1 male, 75 years old, Han nationality. Chronic cough for 20 years, recurrent paroxysmal wheezing in the past 10 years. The admission in January January before a cold fever, asthma attacks can not be alleviated, outside the hospital treatment ineffective, with severe asthma income in our hospital. No history of allergy. Physical examination: blood pressure 14 / 10kPa, breathing 24 beats / min, pulse 120 beats / min, conscious, moderate cyanosis, sitting, breathing, high difficulty breathing, Ming voice, a small amount of wet rales in the lungs, the body without edema. Laboratory tests: leukocyte 6.9 × 10 ~ 9 / L, neutral 0.8, lymph 0.20, hemoglobin 126g / L, serum ion, liver function, blood urea nitrogen, creatinine were normal, electrocardiogram: pulmonary P solution, right ventricular hypertrophy with strain Frequent room early.