患者女,39岁,因反复咳嗽,咳痰1年余,加重伴气短7个月,收住我院。两年前出现乏力,纳差,右上腹不适;检查肝脏大,SGPT 200u(正常值<45μ),经治疗症状减轻,肝功恢复正常。以后屡有肝功异常未予治疗。1年多以前开始反复咳嗽,咳痰,逐渐出现活动后气短,全身乏力,消瘦,遂住院. 体检:消瘦,唇无发绀,杵状指,手指末端发红,心脏无异常,两肺后背中下部可闻细湿罗音,肝肋下2cm,剑下3cm,质软,压痛不著,脾肋下未及,余无异常。 Female patient, 39 years old, due to repeated cough, sputum more than 1 year, increased with shortness of breath for 7 months, admitted to our hospital. Two years ago appeared fatigue, anorexia, right upper quadrant discomfort; check the liver, SGPT 200u (normal <45μ), after the treatment of symptoms, liver function returned to normal. Repeated liver dysfunction after repeated treatment. More than 1 year ago began to repeatedly cough, sputum, gradually shortness of breath after the event, generalized, weight loss, then hospitalized. Physical examination: weight loss, lip cyanosis, clubbed fingers, finger end redness, heart no abnormalities, The lower can be heard fine wet rales, liver ribs 2cm, 3cm under the sword, soft, tender, spleen and ribs did not, I no exception.