患者 ,男 ,35岁 ,反复发作性喘息 2 0余年 ,发作性左侧胸痛伴呼吸困难 1年 ,加重 1小时入院。 2 0余年前开始发作性喘息 ,冬夏季为主 ,可自行或应用茶碱、舒喘灵等药缓解 ,多次诊断支气管哮喘 ,1年前发作性左侧胸痛伴呼吸困难 ,经查体 ,Ｘ线检查诊断为肺大泡 ,自发性气胸 ,先后 Patients, male, 35 years old, recurrent wheezing 20 years, onset of left chest pain with dyspnea for 1 year, increased 1 hour admission. More than 20 years ago onset of episodic wheezing, mainly in winter and summer, can be used on their own or theophylline, salbutamol and other drugs to ease, multiple diagnosis of bronchial asthma, a year ago with episodes of left chest pain with dyspnea, X-ray examination diagnosed as bullae, spontaneous pneumothorax, successively