病历摘要患者男性,44岁,住院号74663。因干咳,进行性呼吸困难6个月,心悸2天。于1989年7月5日入院。1989年1月开始咳嗽、气短,多为干咳,时有少量白痰,气短于活动后加重。无咯血及胸痛,不发热。1989年2月14日第一次入院,结合胸片诊断肺内感染、肺间质纤维化,4月12日做胸部CT,诊断弥漫性肺间质病变。经用庆大霉素、青霉素、氨基苄青霉 Patient summary Male patient, 44 years old, hospital number 74663. Due to dry cough, progressive dyspnea 6 months, palpitations 2 days. In July 5, 1989 admission. January 1989 began to cough, shortness of breath, mostly dry cough, when a small amount of white sputum, shortness of breath worse than after the activity. No hemoptysis and chest pain, no fever. February 14, 1989 the first admission, combined with chest X-ray diagnosis of pulmonary infection, interstitial fibrosis, April 12 to do chest CT, diagnosis of diffuse interstitial lung disease. By gentamicin, penicillin, ampicillin