1　病例报告患者　女 ,5 6岁 ,因慢性咳嗽、咳痰、气短 2年余 ,加重 1周于 2 0 0 3年 2月 2 7日第 1次入院。查体 ;慢性病容 ,形体消瘦 ,左肺呼吸音明显减弱。实验室检查 :白细胞 4.5× 1 0 9/L ,中性粒细胞 0 .82 ,淋巴细胞 0 .1 8,血红蛋白 1 0 6g/L ,血沉 5 1mm/第 1小时 ; A case report Female patients, 56 years old, due to chronic cough, sputum, shortness of breath more than 2 years, an increase of 1 week February 27, 2003 the first admission. Physical examination; chronic disease, body weight loss, left lung breath sounds significantly weakened. Laboratory tests: white blood cells 4.5 × 109 / L, neutrophils 0.82, lymphocytes 0.1 8, hemoglobin 106g / L, erythrocyte sedimentation rate 51mm / 1 hour;