患者、男70岁,因反复咳嗽、咳痰15年,渐进加重10年,再发一周于1991年8月16日入院。患者有15年慢性咳嗽史,曾多次住我院诊为慢支炎,肺气肿。半年前住外院诊为“肺心病”。一周前症状再发,咳白粘痰、气促、不能平卧,服氟哌酸、SMZco无效而入院。吸烟30年,1包/日。 体检;体温37.8℃、脉搏112次/分、呼吸25次/分,血压13.33/9.33kPa,慢性病容,唇甲发绀,桶状胸,双肺叩诊过清音,呼吸音低,全肺哮鸣音,右下肺细湿罗音,P_2>A_2,剑下心音强于心尖区,腹(—)。实验室检查:血红蛋白145g/L、白细胞12.2×10~9/L,中性0.78、淋巴0.20、酸性0.02, Patients, male, 70 years old, due to repeated cough, sputum for 15 years, gradually increased 10 years, the recurrence of a week in August 16, 1991 admission. The patient has a history of 15 years of chronic cough, has repeatedly admitted to our hospital for chronic bronchitis, emphysema. Expatriate hospital six months ago as a “pulmonary heart disease.” Symptoms recurrence a week ago, cough white phlegm, shortness of breath, can not supine, serving norfloxacin, SMZco invalid and admitted to hospital. Smoking 30 years, 1 pack / day. Physical examination; body temperature 37.8 ℃, pulse 112 beats / min, breathing 25 beats / min, blood pressure 13.33 / 9.33kPa, chronic disease, lip cyanosis, tuberculosis chest, lung percussion over voiceless, , Right lower lung fine wet rales, P_2> A_2, the sword under the heart sound stronger than the apex, abdomen (-). Laboratory tests: hemoglobin 145g / L, leukocytes 12.2 × 10 ~ 9 / L, neutral 0.78, lymph 0.20, acid 0.02,