副主任医师:这位患者患肺心病并成人呼吸窘迫综合征(ARDS),病情反复,现在我们重点讨论诊治问题。现请吕民医师报告病历。病例报告患者女,26岁,已婚。因咳嗽、咳脓痰25年,心慌、气促、浮肿3年,加重半月,于1983年12月26日入院。患者于1岁时因发烧、痉咳在当地医院诊为“百日咳”,治疗3个月好转。此后每于感冒受凉后即咳嗽、 Associate Chief Physician: This patient has pulmonary heart disease and adult respiratory distress syndrome (ARDS), the condition is repeated, and now we focus on the diagnosis and treatment problems. Please ask Dr. Lu Min medical record. Case report Female patient, 26 years old, married. Due to cough, cough purulent sputum 25 years, palpitation, shortness of breath, edema 3 years, increased half a month, was admitted on December 26, 1983. Patients at the age of 1 due to fever, spasm cough at the local hospital diagnosed as “whooping cough”, the treatment of 3 months improved. After every cold since the cold cough,