主治医师:现请主管医师报告病历,然后讨论本例的诊断及治疗问题。主管医师:患者男性,24岁。6年前无明显原因的出现发作性呼吸困难,活动时尤甚,并有持续性咳嗽,吐少量血性痰液或咯血。有时伴发热,每次发作可持续数日。发作间歇期感全身乏力。当地医院诊断肺结核、 Attending Physician: The competent physician is now required to report the medical record, then discuss the diagnostic and treatment issues in this case. Chief physician: Male patient, 24 years old. 6 years ago, no obvious cause of episodic dyspnea, especially in activities, and persistent cough, spit a small amount of bloody sputum or hemoptysis. Sometimes accompanied by fever, each attack can last for several days. Intermittent senses of generalized fatigue. Local hospital diagnosis of tuberculosis,