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患者男,58岁。因慢性咳嗽、咳痰5年加重伴晕厥1月入院。5年前受凉后出现刻嗽,咳痰,痰为白色泡沫状,每日量20ml 左右。每次咳嗽持续约一月,夜间较明显。每次仅服“感冒药”即可缓解。一月前受凉后呈刺激性咳嗽,咳剧时出现晕厥,每天1～2次,每次持续3～5秒后苏醒,醒后如常人。4天前我院门诊给予抗炎治疗无效,晕厥反复发作每天3～4次,均与咳嗽有关。既往有5年高血压史。喜饮啤酒20年,2～3瓶/天。性格开朗,喜交朋友。吸烟20年。1包/天。体查:体温36℃,脉博90次/分,呼吸20次/分。血压23/14KPa。发育正常,神清合作,肥胖体型。咽稍充血。双扁桃体不大。颈软,气管居中。胸廓对称,双肺底闻及少许湿性啰音。心率90次/分.律齐,各瓣膜听诊区未闻及病理杂音。
Male patient, 58 years old. Due to chronic cough, sputum aggravate 5 years with syncope January admission. 5 years ago after the cold appeared cough, sputum, sputum as a white foam, daily volume of about 20ml. Each cough lasts about one month, more obvious at night. Each serving only “cold medicine” can be alleviated. A month ago was irritating cough after the cold, cough syncope occurs, 1 or 2 times a day, each lasting 3 to 5 seconds after wake up, wake up as normal. 4 days ago, our hospital outpatient anti-inflammatory treatment is invalid, repeated episodes of syncope 3 to 4 times a day, are related to cough. 5 years history of hypertension. Hi drink beer for 20 years, 2 to 3 bottles / day. Cheerful, happy to make friends. Smoking for 20 years. 1 bag / day. Physical examination: body temperature 36 ℃, Pulse Bo 90 times / min, breathing 20 beats / min. Blood pressure 23 / 14KPa. Normal development, clear cooperation, fat body type. Throat slightly hyperemia. Double tonsils are not big. Neck soft, tracheal center. Symmetrical thorax, both at the end of the lungs and a little wet rales. Heart rate 90 beats / min.Li Qi, the valve auscultation area did not smell and pathological murmur.