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患者女,60岁,主诉:咳嗽、咳痰3个月,于2015年5月19日入院。现病史:因3个月前受凉后出现咳嗽、咳痰,起始呈白色泡沫痰,约10 d前症状加重,间断咳出黄色黏痰,并有间断发热,体温未测。既往史:有糖尿病病史2年,血糖控制可;否认高血压、冠心病史,否认肝炎、结核、传染病史。否认食物、药物过敏史。入院体检:T 36.6℃,HR 80次/min,R 20
Female patient, 60 years old, chief complaint: cough, expectoration for 3 months, was admitted on May 19, 2015. Current history: 3 months ago after the onset of cough, sputum, the initial white foam sputum, about 10 d before the onset of symptoms, intermittent cough yellow phlegm, and intermittent fever, body temperature was not measured. Past history: a history of diabetes for 2 years, blood glucose control can be; denied hypertension, coronary heart disease history, denied hepatitis, tuberculosis, history of infectious diseases. Denied food, drug allergy history. Admission examination: T 36.6 ℃, HR 80 beats / min, R 20