患者,男性,62岁。反复咳嗽、咳痰、胸闷、声嘶2年余,加重伴呛咳7个月。在本地按“慢性咽炎”治疗无效,于1990年11月1日入我院。1949年曾患“肺结核”。入院前8个月在院外拍胸片示左肺纤维空洞型肺结核,未治疗。查体:T36.2℃,唇无紫绀,气管左偏,左 Patient, male, 62 years old. Repeated cough, sputum, chest tightness, hoarseness more than 2 years, increased with cough for 7 months. In the local by “chronic pharyngitis” treatment ineffective, in November 1, 1990 into our hospital. 1949 had “tuberculosis.” Eight months before admission, a chest radiograph was taken outside the hospital to show left pulmonary fibrosis with no pulmonary tuberculosis. Physical examination: T36.2 ℃, cyanotic lips, left trachea, left