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患者男性33岁,机修工。因突然咳嗽并咯血一满盆就诊。在当地急症室时血压低,经输血后转入。无胸痛。过去无咯血、发烧、咳嗽、咳痰,否认肺病及结核史。吸烟5年。16岁时曾作主动脉缩窄外科修复术。体检:体温正常,心率90/分,呼吸18/分,血压17.73/10.4kPa(133/78mmHg)。右肺底可闻干啰音,左肺清晰。余无特殊。实验室检查:血红蛋白124g/L,白细胞9.8×10~9/L,血小板274×10~9/L。尿素氮、肌酐、尿常规、凝血酶无时间及部分凝血酶致活酶时间正常。胸部
Male patient 33 years old, mechanic. Due to a sudden cough and hemoptysis full basin treatment. In the local emergency room when the blood pressure is low, after transfusion into. No chest pain. In the past, there was no hemoptysis, fever, cough, phlegm, and no lung disease and tuberculosis. Smoking for 5 years. 16-year-old had aortic stenosis surgical repair. Physical examination: normal body temperature, heart rate 90 / min, breathing 18 / min, blood pressure 17.73 / 10.4kPa (133 / 78mmHg). Right lung bottom can be heard dry rales, the left lung is clear. I no special. Laboratory tests: hemoglobin 124g / L, white blood cells 9.8 × 10 ~ 9 / L, platelets 274 × 10 ~ 9 / L. Urea nitrogen, creatinine, urine routine, no time and some thrombin thrombin enzyme activity of normal time. chest