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男患,60岁。近半年出现进行性呼吸困难。初为活动后气短,休息后消失,逐渐发展至静息时也气短,但能平卧,无阵发性夜间呼吸困难。近3个月频繁干咳,活动时偶有刺激性干咳。发病后觉乏力,食欲不振,体重减轻,无发热、少尿浮肿、关节痛、腹泻等症状。52岁时患冠心病,57岁时出现房颤,其后一直服用乙胺碘呋酮,每日量为600mg。否认长期服用其他药物史,否认结缔组织病、肝病、肺结核病史、否认化学气体、粉尘、射线接触史。查体:体温36.8℃,脉搏76次/分,呼吸34次/分,血压18/12kPa,神清语明,体位自如,查体合作。
Male suffering, 60 years old. Progressive dyspnea in the past six months. After the beginning of shortness of breath after the event, after the disappearance of rest, and gradually developed to shortness of breath, but can be supine, no paroxysmal nocturnal dyspnea. Frequent dry cough in the past 3 months, occasional occasional irritating dry cough. After onset of fatigue, loss of appetite, weight loss, no fever, oliguria edema, joint pain, diarrhea and other symptoms. Coronary heart disease at 52 years of age, 57-year-old atrial fibrillation, has been taking amiodarone, the daily amount of 600mg. Denied long-term use of other drug history, denied connective tissue disease, liver disease, history of tuberculosis, denied chemical gases, dust, radiation exposure history. Physical examination: body temperature 36.8 ℃, pulse 76 beats / min, breathing 34 beats / min, blood pressure 18 / 12kPa, clear and clear statement, position freely, physical examination cooperation.