1　病历报告　　患者,男,45岁。胸闷喘憋多年,加重1周入院。无畏寒,发热、咳嗽咯痰,咯血。患者自述儿童时期即有喘憋,因未影响工作一直未到医院就诊。4个月前因憋闷、双下肢水肿于我院内科以肺大泡,肺气肿,肺心病住院治疗2周,症状好转后自动出院。近1周胸闷加重,再次来院就诊。 1 medical record patient, male, 45 years old. Chest tightness wheezing for many years, increased 1 week admission. No chills, fever, cough expectoration, hemoptysis. The patient reported having wheeze during the child’s time and did not visit the hospital because she did not affect the work. 4 months ago because of oppressed, double lower extremity edema in our hospital to pulmonary bullae, emphysema, pulmonary heart disease hospitalized for 2 weeks, the symptoms improved automatically discharged. Chest tightness increased nearly 1 week, once again to the hospital.