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病历摘要冯某,男,60岁.住院号533263.主诉:咳嗽,咳痰25年,突然背疼,胸闷,昏睡4小时。现病史:25年前开始冬季咳嗽、咳痰、反复发作,时轻时重.近10年来,活动后气喘.曾诊断为慢性支气管炎,肺气肿,肺心病.近一个月来咳嗽加重.咯白色粘稠痰,曾咯出大米粒样硬块痰数次,不发热,无咯血,给予青霉素、庆大霉素及祛疾药物治疗,咳嗽减轻,一周来饮食量明显减少,卧床不起.4小时前.突感胸闷,持续性背部疼痛,不向它处放射,伴恶心呕吐,服用布洛芬及静脉推注氨茶碱后,疼痛稍有缓解,渐渐昏睡不醒,急症入院。过去史:患胃窦炎5年,否认冠心病史。
Summary of medical records Fengmou, male, 60 years old. Hospital number 533263. Chief complaint: cough, sputum for 25 years, suddenly back pain, chest tightness, lethargy 4 hours. Current history: 25 years ago began to winter cough, expectoration, recurrent, when light weight heavy .In the past 10 years, activities after asthma.Can diagnosed with chronic bronchitis, emphysema, pulmonary heart disease.Cough over the past month. Slightly thick sticky sputum, had a grain of rice-like massive sputum several times, no fever, no hemoptysis, to penicillin, gentamicin and cured disease medication, reduce cough, a week to significantly reduce the amount of diet, bedridden. 4 hours ago. Suddenly felt chest tightness, persistent back pain, radiotherapy without it, with nausea and vomiting, taking ibuprofen and intravenous injection of aminophylline, the pain slightly ease, gradually sleepy, emergency admission. Past history: suffering from antral gastritis for 5 years, denied a history of coronary heart disease.