患者 男,72岁,工人。因咯血3天于1995年8月5日入院。入院前已咯血约1000ml。既往有慢性咳嗽、咯痰史30余年,30年前曾有一次大咯血史。入院查体:T37℃,P96次/分,R22次/分,BP20/12kPa(150/90mmHg),意识清,桶状胸,双肺满布哮鸣音、鼾音。X线胸片:双肺纹理粗乱,双下肺野可见网点斑片阴影,心影扩大。初步诊断:支气管扩张、肺源性心脏病。入院后患者仍不断咯全口鲜血痰,胸闷。8月6日晚在一阵剧 Patient male, 72 years old, worker. 3 days due to hemoptysis in August 5, 1995 admission. Hemoptysis has been about 1000ml before admission. Past chronic cough, sputum history of more than 30 years, 30 years ago there was a history of major hemoptysis. Admission examination: T37 ℃, P96 beats / min, R22 beats / min, BP20 / 12kPa (150 / 90mmHg), clear consciousness, barrel chest, lungs covered with wheeze, snoring sound. X-ray: double coarse texture of the lungs, lungs and fields can be seen under the dot patch shadow, heart shadow enlarged. Initial diagnosis: bronchiectasis, pulmonary heart disease. After admission, the patient is still slightly slightly full of blood phlegm, chest tightness. On the night of August 6 in a play