1.患者有18年的咳嗽、咳痰,数年后出现气喘病史,冬春季节每因气候寒冷变化而发作,由此可以推测为慢性支气管炎。此次咳嗽,咳粘液黄痰,微热,白细胞增多,为感冒引起急性发作的表现。近八年来患者的病情又有发展,出现活动后呼吸困难,并逐年加剧,近年来偶有下肢浮肿,入院时呈呼吸困难、紫绀、两肺中下可闻散在性中小湿性罗音,剑突下出现心脏搏动,颈静脉怒张,下肢浮肿,肝颈静脉逆流征阳 1. The patient has 18 years of cough, expectoration, asthma history after a few years, winter and spring seasons due to cold weather changes, which can be presumed to be chronic bronchitis. The cough, cough mucus yellow sputum, micro-fever, leukocytosis, caused by a cold for the performance of acute attacks. In the recent eight years, the patient’s condition has developed. After the event occurs, he experiences difficulty breathing and intensifies year by year. In recent years, his lower extremity edema has difficulty breathing on admission. Cyanosis, Under the heart beat, jugular vein engorgement, lower extremity edema, liver jugular vein reflux Yang