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1病历资料患者女,64岁,农民.主诉:“慢性咳痰喘10年,加重伴纳差7 d”于2015年1月10日晚入院。患者近10年来常在受凉、劳累后出现咳嗽、咳痰、喘息,常咳黄白色黏痰,多次输液治疗。近3年来每年累计病程超过3个月,且逐渐出现气喘,夜间难以平卧休息,伴双下肢反复水肿。多次在我科因“慢性阻塞性肺疾病急性加重、肺心病”住院治疗。7天前患者受凉后再次出现咳嗽、咳黄痰、喘息,伴纳差,在家吸
1 Patient Information Female patient, 64 years old, farmer. Chief Complaint: “Chronic cough and phlegm for 10 years, increased with anorexia 7 d ” was admitted to the hospital on the evening of January 10, Patients in the past 10 years often cold, tired after the emergence of cough, expectoration, wheezing, cough yellow white phlegm, multiple infusion therapy. Over the past three years, the cumulative duration of each year more than 3 months, and gradually asthma, rest night is difficult to rest, with repeated lower extremities edema. Many times in our Section because of “acute exacerbation of chronic obstructive pulmonary disease, pulmonary heart disease,” hospitalized. 7 days before the patient again after a cold cough, cough yellow sputum, wheezing, with poor appetite, at home suction