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患者,男,62岁,农民。入院前10天因感冒出现不规则低热、咳嗽、气急、有少量白色粘液性痰。由于症状逐渐加重,不能平卧,于1989年5月7日急诊入院。患者以往体健、有吸烟史30年(旱烟每日数十袋),无过敏史。体检:T37.2℃,P90次/min,R38次/min,BP20/10.6kPa。急性面容,端坐位,呼吸急促,口唇紫绀,气管居中,吸气时无“三凹”征,两上肺叩诊高清音,听诊两肺在布满哮喘音,呼气音延长,两上肺呼吸音显著,两下肺呼吸音略低。查WBC8.2×10~9/L,N0.79,L0.21,BPC220×10~9/L EKG示:肺型P波,窦性心动过速。胸
Patient, male, 62 years old, farmer. 10 days before admission because of irregular cold fever, cough, shortness of breath, a small amount of white mucus of sputum. Due to the gradual increase in symptoms, can not lie down, in May 7, 1989 emergency admission. In the past, patients with health, smoking history for 30 years (dozens of bags of dry tobacco daily), no allergy history. Physical examination: T37.2 ℃, P90 times / min, R38 times / min, BP20 / 10.6kPa. Acute face, sitting, shortness of breath, cyanotic lips, tracheal center, no “three concave” sign during inspiration, two lung percussion high-definition sound, auscultation of lungs in the full of astound sounds, expiratory sound lengthening, two on the lungs breathing Significantly, two lung breath sounds slightly lower. Check WBC8.2 × 10 ~ 9 / L, N0.79, L0.21, BPC220 × 10 ~ 9 / L EKG showed: pulmonary P wave, sinus tachycardia. chest