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例1、男性，62岁，木工。因反复咳嗽20余年，突发性喘累2天于1987年11月4日急诊收入本市某医院观察室。当时查体：端坐位，气急，唇绀，双肺哮呜音，心率120次/分，律齐。实验室检查：WBC19.9×10~9/L，NO.86，L0.14。诊断喘息型支气管炎。给予吸氧，静滴大剂量青霉素、皮质激素、氨茶碱，以及口服舒喘灵治疗。患者喘累及呼吸困难进行加重，次日晚上急诊收入我院。入院时查体：T37.1℃，R48次/分，端坐位，精神萎糜，喘息状，唇绀明显，无颈静脉怒张，气管左移，双肺叩诊过清音，右肺下部呼吸音减弱，双肺满布哮呜音，未闻及湿罗音，心率130次/分，津齐，无杂音，肝脾未扪及，双下肢不肿。根据患者病史及入院临床表现，诊断为右侧自发性气胸，遂给患者胸透及摄胸片赤证实：右肺压缩30％，双肺
Example 1, male, 62 years old, carpentry. Due to repeated cough for more than 20 years, two days of sudden wheezing in November 4, 1987 emergency department income in a hospital observation room. At that time examination: sitting, shortness of breath, cyanosis, lung lung awoke, heart rate 120 beats / min, law Qi. Laboratory tests: WBC19.9 × 10 ~ 9 / L, NO.86, L0.14. Diagnosis wheezing bronchitis. Given oxygen, intravenous infusion of large doses of penicillin, corticosteroids, aminophylline, and oral salbutamol treatment. Patients with asthma and dyspnea increased, the emergency room the next night income in our hospital. Admission examination: T37.1 ℃, R48 times / min, sitting, spiritual wilt, wheezing, cyanotic obvious, no jugular vein engorgement, left trachea, lung percussion over the voice, lower right lung breath sounds Weakening, lungs covered with aphonia, did not smell and wet rales, heart rate 130 beats / min, Tianjin Qi, no noise, no palpable liver and spleen, both lower extremity swollen. According to the patient’s medical history and clinical manifestations, diagnosis of spontaneous pneumothorax on the right side, then to the chest X-ray and chest X-ray red card confirmed: right lung compression 30%, lung