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临床资料患者男性,62岁。因“间断咳嗽、喘息50余年,加重1个月”于2015年1月3日入院。患者50年前出现间断咳嗽、咳痰、喘息,多于乡卫生诊所就诊,抗感染、解痉平喘治疗可缓解症状,症状逐年加重,活动耐量逐年减低。2年前曾于我科以“双肺多发肺大疱,肺纤维化”住院诊治,胸部CT检查示双肺多发肺大疱,肺纤维化(图1);肺功能检查示第1秒用力呼气容积与用力肺活量比(FEV_1/
Clinical data Patient male, 62 years old. Because of “intermittent cough, wheezing more than 50 years, an increase of 1 month ” on January 3, 2015 admission. Patients 50 years ago intermittent cough, expectoration, wheezing, more than the township clinics, anti-infective, antispasmodic asthma treatment can relieve symptoms, the symptoms increased year by year, activity decreased year by year. 2 years ago in our department to “lung multiple lung bullae, pulmonary fibrosis ” hospital diagnosis and treatment, chest CT examination showed multiple pulmonary bullous lung, pulmonary fibrosis (Figure 1); pulmonary function tests showed that 1 Second forced expiratory volume and forced vital capacity (FEV_1 /