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例1,女,48岁,农民,因“咳嗽、咳痰、活动后气喘两月余”入院。既往有甲亢病史,平素口服“甲巯咪唑、普萘洛尔”治疗。有“青霉素”过敏史。患者出现阵发性咳嗽,咳白痰或黄痰,有时咳痰粘稠,略呈红色,伴活动后气喘,在当地门诊予以输液治疗,咳嗽咳痰可略有好转,但停药后咳嗽、咳痰加重,并伴有明显消瘦,时觉心悸。查胸部CT提示右下肺占位伴阻塞性肺不张、右侧胸腔少量积液。SpO294%,心率134次/分,口唇无紫绀,两肺未闻及干湿罗音。行支气管镜检查:右中间支气管腔内见黄绿色粘稠分泌物,吸取标本作细
Example 1, female, 48 years old, farmer, due to “cough, expectoration, after activities more than two months of asthma ” admission. Past history of hyperthyroidism, usually oral “methimazole, propranolol ” treatment. Have “penicillin ” allergy history. Patients with paroxysmal cough, cough white sputum or yellow sputum, and sometimes sputum viscous, slightly red, with activity after asthma, infusion treatment in the local clinic, cough and expectoration may be slightly better, but after stopping cough, Exacerbated sputum, accompanied by significant weight loss, feel palpitations. Chest CT scan prompts the right lower lung obstruction with obstructive atelectasis, right pleural effusion. SpO294% heart rate 134 beats / min, no cyanosis of the lips, both lungs did not smell and wet and dry rales. Bronchoscopy line: see the middle of the middle bronchial cavity see the yellow-green viscous secretions, drawing specimens for thin