患者男性,18岁。因发热、胸闷、咳黄色脓样痰于1981年9月入院。经拍X线胸片检查诊为肺结核。给予雷米封、利福平、乙胺丁醇及红霉素等治疗后诸症好转。翌年1月又因咳喘,痰量平均每天200ml伴下肢浮肿而住院。检查见患者呈喘息状、桶状胸,双肺闻及干、湿性啰音,肝在右肋下3cm触及,双下肢轻度凹陷性水肿。实验室检查:血红蛋白11.5g％,白细胞9300～19600/mm~3,中性60～70％,淋巴 Patient male, 18 years old. Due to fever, chest tightness, cough, yellow suppurative sputum admitted in September 1981. X-ray examination by chest X-ray diagnosis of tuberculosis. Give Remifentanil, rifampicin, ethambutol and erythromycin treatment improved. In January the following year due to cough, sputum volume average daily 200ml with lower extremity edema and hospitalization. Check the patient was wheezing, barrel chest, lungs smell dry and wet rales, liver 3cm touch the right rib, lower extremity mild depression edema. Laboratory tests: hemoglobin 11.5g%, white blood cells 9300 ~ 19600 / mm ~ 3, neutral 60 ~ 70%, lymphatic