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1病例资料患者,男,68岁,体质量62 kg,反复咳嗽、咳痰2年余,既往2011年2月在我院感染科诊断为“肺结核”;2013年3月因咯血在我院呼吸内科住院,予对症治疗后好转出院;2013年4月1日我院胸部CT示:慢支伴肺气肿改变。因“咳嗽、咳痰、咯血2天”于2016年3月28日入院。患者否认肝炎、疟疾等传染病史,否认“高血压、冠心病、糖尿病”等病史,否认手术史,否认外伤史,否认输血史,否认药物、食物过敏史。有47年吸烟史,约940支/年,40余年饮酒史,每日约6两白
1 case data patients, male, 68 years old, body weight 62 kg, repeated cough, sputum more than 2 years, past February 2011 in our hospital infection department diagnosed as “tuberculosis”; March 2013 because of hemoptysis in me Hospital respiratory medicine hospitalized to symptomatic treatment improved discharged; April 1, 2013 in our hospital chest CT showed: chronic bronchitis with emphysema change. Due to “cough, sputum, hemoptysis 2 days ” on March 28, 2016 admission. Patients denied history of infectious diseases such as hepatitis and malaria, denied medical history such as hypertension, coronary heart disease and diabetes, denied surgery history, denied traumatic history, denied blood transfusion history, denied drug and food allergy history. There are 47 years of smoking history, about 940 / year, more than 40 years of drinking history, about 6 white day