患者女性,70岁,1983年11月20日以咳嗽、气短间断发作3年,加重2天住院。3年前曾在某院诊断为老慢支并肺气肿,2年前又因腰痛曾在某院诊断为风湿病,后者经抗风湿治疗效果不著。体检:体温36.5℃,脉搏80次,血压110/80mmHg,精神萎靡,平卧位,巩膜皮肤不黄,左右腹股沟淋巴结各有2—3个如蚕豆大,无压痛及粘连。胸部两侧叩诊呈高清音,呼吸音降低,可听到散在干性罗音,心界略向左扩大,有频发早搏。腹软,肝在右肋下 Female, 70 years old, November 20, 1983 with cough, shortness of breath episodes for 3 years, increased 2 days hospitalization. 3 years ago in a hospital diagnosed with chronic bronchiolitis and emphysema, 2 years ago due to low back pain in a hospital diagnosed as rheumatism, the latter by the treatment of anti-rheumatoid ineffective. Physical examination: body temperature 36.5 ℃, pulse 80 times, blood pressure 110 / 80mmHg, apathetic, supine position, the scleral skin is not yellow, around the inguinal lymph nodes have 2-3, such as broad bean, no tenderness and adhesions. Percussion on both sides of the chest were high-definition sound, breath sounds lower, you can hear scattered dry rales, the heart slightly expanded to the left, frequent premature beats. Abdominal soft, liver in the right flank