病历摘要患者男,60岁,住院号60。因胸闷气短伴轻咳40余天,近八天加重于1980年2月23日入院。40余天前,自觉流鼻涕,全身痛。继之有不规则低热37℃～38℃约20余天,伴有胸闷、气短、干咳,胸透为右中肺炎。于发病后半月住院,经抗感染治疗病情好转。出院后8天上述症状加重,再次住院。既往无特殊。查体:体温、脉搏、血压均正常,呈慢性病容,唇无紫绀,袭浅淋巴结未触及,心肺正常,肝脾未及,双下肢无浮肿,无杵状指趾。胸透:右中下部片絮状阴影两肋角充填。化验:白细胞5800,血沉正常,痰未找到结核菌及癌细胞。诊断:有肺炎,肺结核待除外。住院经过:以抗感染兼抗结核治疗。胸闷气短逐渐加重,尤以活动后呼吸困难更为明显,口唇也逐渐出现紫绀,20天后又发烧,肺内迅速出现多量中小水泡音,夹有喘鸣音,并用氢考七天后热退,但胸闷气短 Patient summary Male patient, 60 years old, hospital number 60. Due to chest tightness and shortness of breath with light cough more than 40 days, nearly eight days increased in February 23, 1980 admission. More than 40 days ago, consciously runny nose, body pain. Followed by irregular low fever 37 ℃ ~ 38 ℃ for about 20 days, accompanied by chest tightness, shortness of breath, dry cough, chest for the right pneumonia. Half a month after onset of hospitalization, the condition improved after anti-infective treatment. Eight days after discharge, the above symptoms were exacerbated and were hospitalized again. No special past. Physical examination: body temperature, pulse, blood pressure were normal, was chronic disease, no cyanosis of the lips, lymph nodes were not touched, normal heart and lungs, liver and spleen not yet, no swelling of both lower extremities, without clubbing toe. Chest throat: the right middle and lower pieces of flocculent shadow two ribs filling angle. Laboratory tests: white blood cells 5800, erythrocyte sedimentation rate is normal, sputum did not find TB and cancer cells. Diagnosis: pneumonia, tuberculosis to be excluded. After hospitalization: anti-infection and anti-TB treatment. Chest tightness, shortness of breath and gradually increased, especially after activity more difficulty breathing, lips gradually cyanosis, fever after 20 days, the lungs quickly appeared a large number of small and medium blisters sound, sandwiched wheeze, and hydrogen test seven days after the heat back, Shortness of breath and chest tightness