病史摘要 ×××,住院号4588,男、73岁。有慢支史已20余年,常有急性发作,近二年来发作较前为重。有重度吸烟史,亦有嗜酒史。1981年6月因急性肠炎住院时,曾有痰中带血,当时X线胸片,痰找癌细胞3次均为阴性,以后未再出现过血痰。1982年2月因支气管肺炎住院,先后摄X线胸片3次,除有肺纹增多及支气管肺炎阴影外,未见块影。1982年5月26日因发热、咳嗽、咯痰加剧入院。胸透阴性,血白细胞12,400,中性91％,应用氨苄青治疗,两天后体温下降,咳嗽等症状好转。 Medical history summary ×××, hospitalization number 4588, male, 73 years old. The history of chronic bronchitis has been more than 20 years, and there are often acute attacks. In the past two years, the attack was more severe than before. There is a history of heavy smoking and there is also a history of alcohol abuse. When he was admitted to hospital with acute enteritis in June 1981, he had had blood in his eyes. At the time, his chest X-ray and hernia were negative for 3 times. He had no bloody sputum. In February 1982, due to hospitalization of bronchial pneumonia, X-ray chest radiographs had been taken three times. Except for increased lung markings and bronchopneumonia, no shadow was seen. On May 26, 1982, he was hospitalized due to fever, cough, and expectoration. Chest-negative, white blood cells 12,400, neutral 91%, the use of ampicillin treatment, two days after the temperature dropped, cough and other symptoms improved.