1　病历简介例 1:女 ,6 5岁。反复咳嗽、气喘、胸闷 10年。自 1985年以来 ,无明显诱因反复咳嗽、气急、胸闷 ,时有呼吸困难 ,咳嗽有少许白痰 ,长期门诊按“支气管哮喘”予以氨茶硷、舒喘灵等治疗 ,症状可缓解。近 2年来呼吸困难明显 ,发作频繁。曾做气管镜检气管无异常 ,于 199 1 medical record brief example 1: female, 6 5 years old. Repeated cough, asthma, chest tightness for 10 years. Since 1985, no obvious incentive to repeated cough, shortness of breath, chest tightness, sometimes breathing difficulties, cough with a little white sputum, long-term clinic according to “bronchial asthma” to aminophylline, salbutamol and other treatment, the symptoms can be alleviated. Difficulty breathing in the past 2 years, frequent episodes. Tracheal tube trachea had no abnormalities, in 199