男,48岁。近7～8年来间常咳喘,于8天前在县医院就诊。体温37.8°,血压16.0/10.7kp2,呼吸略促,但无发绀,两肺气肿征并散在干湿性罗音。余无异常。X线示支气管炎并感染;ECG示窦速,ST-T略下移。给青霉素、心得安、氨茶碱病情恢复,因双下肢乏力而再三要求静注葡萄糖。体查:一般情况良好,血压14.6/9.3kpa,呼吸音略粗,无干湿罗音,心征无异 Male, 48 years old. Nearly 7 to 8 years often cough, 8 days ago in the county hospital. Body temperature 37.8 °, blood pressure 16.0 / 10.7kp2, breathing slightly, but no cyanosis, pulmonary emphysema syndrome and scattered in wet and dry rales. I no exception. X ray showed bronchitis and infection; ECG showed sinus speed, ST-T slightly down. To penicillin, propranolol, aminophylline recovery, due to weakness of both lower extremities repeatedly asked intravenous glucose. Physical examination: generally good, blood pressure 14.6 / 9.3kpa, breath sounds rough, no wet and dry rales, no difference in heart sign