患者女,71岁。因反复发作性咳嗽、咯痰,气短进行性加重20余年,发热3d,于2004年12月6日入院。既往无药物过敏史。入院查体:口唇无紫绀,胸廓对称,双肺呼吸音低,可闻及干湿性啰音，心界不大，HR88次/min,无杂音,腹平软,肝脾肋下未及。胸片示双肺纹理粗乱,透光度差,右肺陈旧性肺结 Female patient, 71 years old. Due to recurrent cough, expectoration, shortness of breath progressive aggravating more than 20 years, fever 3d, on December 6, 2004 admission. Past history of drug allergy. Admission examination: lips without cyanosis, symmetry of the thorax, lungs breath sounds low, can be heard and wet and dry rales, little heart, HR88 times / min, no noise, abdominal soft, liver and spleen ribs. Chest radiograph showed coarse texture of the lungs, poor light transmission, old lung pulmonary tuberculosis