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病历摘要:患者男,50岁,1986年1月8日入院。慢性咳喘史15年余,多在冬春季节发病,曾先后多次住院治疗。近年因绿脓杆菌引起肺内感染,而投多种抗生素疗效不佳。本次因咳喘加重,大量黄痰伴胸闷、气短入院。既往有链霉素过敏史。查体;体温36.9℃,脉搏106次/分,呼吸24次/分。血压100/80mmHg。颜面口唇明显紫绀,颈静脉怒张,肺气肿体征,双肺可闻及哮鸣音及中小水泡音,剑突下可见
Medical record summary: The patient male, 50 years old, was admitted on January 8, 1986. Chronic cough history of more than 15 years, mostly in the winter and spring onset, has repeatedly hospitalized. Pseudomonas aeruginosa in recent years caused by pulmonary infection, and cast a variety of antibiotics poor efficacy. Due to increased cough and asthma, a large number of phlegm with chest tightness, shortness of breath admitted to hospital. Past history of streptomycin allergy. Physical examination; body temperature 36.9 ℃, pulse 106 beats / min, breathing 24 beats / min. Blood pressure 100 / 80mmHg. Apparent cyanosis lips, jugular vein engorgement, emphysema signs, lungs can be heard and wheeze and small and medium blisters sound, xiphoid can be seen