患者,女,45岁。反复发作咳嗽吐痰,胸闷气喘1年,症状加重20天。1年前进餐时被鱼刺梗住喉部,当时通过饮水后,自觉梗阻解除,仅感胸部不适,仍能进食和劳动。两天后畏寒发热、咳嗽、胸闷,作“感冒”打针服药热退,咳嗽、胸闷无改善,继用青、链霉素症状减轻自此之后反复发作胸闷、气喘、咳嗽、吐痰,曾2次到县医院治疗,诊断为喘息型慢性支气管炎。几次胸透及X线照片均为“双肺纹理增粗模糊。”但对抗炎定喘等药物无明显效果,症状逐渐加重,每天咯白粘痰200～300ml,有时痰中带血,不能平卧,静坐亦感呼吸困难。 体查:体温37℃、脉搏124次、呼吸45次、血压13/8kPa。发育正常,营养欠佳,慢性病容,消 Patient, female, 45 years old. Repeated episodes of cough and phlegm, chest tightness and asthma for 1 year, symptoms increased 20 days. 1 year ago when the meal was caught fish throat throat, then through the water, consciously relieve obstruction, only chest discomfort, still can eat and work. Two days later chills, fever, cough, chest tightness, for “cold” injections medication hot retreat, cough, chest tightness no improvement, following the use of green, streptomycin symptoms reduced after the onset of chest tightness, asthma, cough, spit, had 2 Times to county hospital treatment, diagnosis of wheezing chronic bronchitis. Several chest X-ray and chest X-ray are “thickening fuzzy lungs.” But anti-inflammatory Dinghu and other drugs no significant effect, the symptoms gradually aggravate every day slightly white phlegm phlegm 200 ~ 300ml, sometimes bloody sputum, Can not lie down, sit-in also feel breathing difficulties. Physical examination: body temperature 37 ℃, pulse 124 times, breathing 45 times, blood pressure 13 / 8kPa. Normal development, poor nutrition, chronic disease, consumption