例1 男,60岁。因发作性夜间咳嗽、气喘半月于1994年6月15日住院。既往无慢支病史,本次病前曾“上感”。半月来逐渐出现咳嗽,气喘,气短,胸闷,尤以夜间为著,需坐位后症状才能缓解。查体:T37℃,P92次/min,R28次/min,BP20/11.3kPa,慢性病容,双肺呼吸音清,未闻及哮鸣音,心界不大,心率92次/min,律齐,各瓣膜区未闻及病理性杂音。腹平软,肝脾未及,双下肢无水肿。胸部X线及各项血液、生化检查正常,心电图正常。入院诊断:冠心病,左心功能不全。给予利尿,强心及扩血管药物治疗效果不佳。病人夜间咳嗽气短发作时,双肺可闻及广泛哮鸣音。遂考虑病人为老年人支气管哮喘。给予氨茶碱,强的松治疗,约5d后症状消失。随访3年,病人也间断出现 Example 1 male, 60 years old. Due to episodes of nocturnal cough, asthma half on June 15, 1994 hospitalization. No past history of chronic bronchitis, the disease had “feeling.” Half a month to gradually cough, asthma, shortness of breath, chest tightness, especially at night, need to sit after the symptoms can be alleviated. Physical examination: T37 ℃, P92 times / min, R28 times / min, BP20 / 11.3kPa, chronic disease, lung breath sounds clear, no smell and wheezing, heart is not big, heart rate 92 beats / min, , The valve area is not known and pathological murmur. Abdomen soft, liver and spleen yet, no lower extremity edema. Chest X-ray and the blood, normal biochemical tests, normal ECG. Admission diagnosis: coronary heart disease, left ventricular dysfunction. Given diuretic, cardiac and vasodilator drug treatment ineffective. Patients with cough and shortness of breath at night, the lungs can be heard a wide range of wheeze. Then consider the patient for the elderly bronchial asthma. Give aminophylline, prednisone treatment, about 5d after the symptoms disappear. Follow-up 3 years, the patient also appeared intermittently