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例1,女,84岁。因声嘶5个月咳嗽、喘鸣3月入院。患者于5个月前出现声音嘶哑,间接喉镜检查为右侧声带麻痹。近3个月来咳嗽、气喘。气喘以吸气时为主,伴有喉鸣音。多次诊为“喘息型支气管炎、肺气肿”给予抗炎平喘治疗无效。入院时检查:T36.8℃,P86次,R28次,BP14/8kPa。消瘦,唇绀。桶状胸,两肺可闻及干罗音,以吸气性为主。实验室检查:Hb96g/L,RBC2.9×10~(12)/L,WBC6.7×10~9/L,N 0.67,L 0.23。血沉40mm/h,癌胚抗原18ng/ML。
Example 1, female, 84 years old. As a result of 5 months of coughing and wheezing, he was hospitalized in March. The patient developed hoarseness five months earlier and indirect laryngoscopy was the right vocal cord paralysis. Cough and wheezing in the past 3 months. Asthma is dominated by inspiration, accompanied by throat sounds. Repeated diagnosis of “asthmatic bronchitis, emphysema” given anti-inflammatory and asthma treatment is invalid. Checked on admission: T36.8°C, P86, R28, BP14/8kPa. Thin, lip licking. Barrel chest, dry lungs can be heard in both lungs, mainly inhalation. Laboratory tests: Hb 96 g/L, RBC 2.9×10 12/L, WBC 6.7×10 9/L, N 0.67, L 0.23. ESR 40 mm/h, carcinoembryonic antigen 18 ng/ML.