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患者女性,64岁,工人。因咳嗽咯痰20年,气喘2年,症状加重1周,于1985年5月17日入院。患者近半年来有阵发性刺激性剧咳,偶有血丝痰。用多种抗菌素及平喘止咳药治疗无效,症状逐渐加重,常通宵剧咳,端坐呼吸和发作性夜间呼吸困难;一度疑为“心源性哮喘”。有时突发喘息,大汗淋漓、紫绀,数分钟后缓解,类似癔症。数月来进食少,体重锐减。吸烟40年,每日一包。
Female patient, 64 years old, worker. He was admitted to hospital on May 17, 1985 because he had cough for 20 years and asthma for 2 years. His symptoms worsened for 1 week. The patient had paroxysmal irritating coughs and bloodshot sputum occasionally in the past six months. With a variety of antibiotics and antitussive cough medicine ineffective treatment, the symptoms gradually increased, often coughing cough, orthopnea and paroxysmal nocturnal dyspnea; once suspected as “cardiogenic asthma.” Sometimes wheezing, sweating, cyanosis, relieved after a few minutes, similar to snoring. After eating for a few months, the weight dropped sharply. Smoking for 40 years, a pack a day.