患者,男,38岁,因发热、咳嗽、咳黄痰4d就诊,缘于入院前4d患者受凉后,出现发热,自测体温最高时达38.3C,后渐感全身乏力。咳嗽以早晚为重,呈刺激性咳嗽。咳黄色粘痰,略有臭味,痰量约150mL/d,曾按“感冒”自服“速效感冒胶囊”二天无明显疗效门诊治疗。有吸烟史10a余.当时查体:T:3 Patients, male, 38 years old, due to fever, cough, cough and yellow sputum 4d treatment, due to 4d before admission, patients with fever, fever, self-test the highest body temperature up to 38.3C, after the general feeling of generalized weakness. Cough sooner or later, was irritating cough. Cough yellow phlegm, a slight odor, sputum volume of about 150mL / d, had “cold” self-service “quick cold capsule” no obvious effect two days outpatient treatment. There are more than 10a smoking history when the physical examination: T: 3