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例1 男 37岁 1986年1月开始经常咳嗽、咳痰,时而出现哮喘。当地 X 线胸片示肺纹理增多,诊为“支气管哮喘”,予以青霉素、庆大霉素、氨茶硷等治疗无效。同年5月转来我院。体检:体温37.8℃,呼吸平稳,唇不发绀,气管居中,右肺闻及哮鸣音。化验:白细胞5.2×10~9/L,中性0.73,淋巴0.27,血沉20mm/Ih。胸片示右肺门稍模糊,肺纹理略粗。肺功能示轻度阻塞性通气功能障碍。纤维支气管镜检查:右中间支气管和右下叶背段支气管开口处,各见1.2×
Example 1 Male 37 years old In January 1986, often cough, sputum, sometimes asthma. Local chest X-ray showed increased lung texture, diagnosed as “bronchial asthma”, penicillin, gentamicin, ammonia theophylline and other treatment is invalid. May the same year transferred to our hospital. Physical examination: body temperature 37.8 ℃, stable breathing, cyanosis of the lips, trachea center, right lung smell and wheeze. Laboratory tests: white blood cells 5.2 × 10 ~ 9 / L, neutral 0.73, lymph 0.27, erythrocyte sedimentation rate 20mm / Ih. Chest radiograph showed slightly blurred hilar, lungs slightly thick texture. Pulmonary function showed mild obstructive ventilatory dysfunction. Fiberoptic bronchoscopy: the right middle of the bronchus and right lower lobe of the bronchial opening, each see 1.2 ×