男,52岁,农民,以心慌、气短、消瘦一年,病情加重伴发热、咳嗽半月于1981年2月28日入院,一年来患者经常心慌气短,偶有心前区短暂隐痛,逐渐消瘦,体重下降十余斤。平素饮食好,自觉乏力,尚能胜任一般劳动。常服喘定、维生素C、冠心平等药物。近半月来咳嗽,吐白色粘痰,发热、胸痛、在县医院胸部透势视,右侧肺门有一块阻影,疑为肺癌收住院治疗。经氟脲嘧啶、长春新硷、环磷酰胺化疗一个疗程,上述症状不见好转并恶心呕吐,下肢浮肿,后转我院,门诊以冠心病心律失常、肺癌待排除收入院治疗。既往有受凉咳嗽两三年,否认高血压、关节疼痛等病史。查体:体温38.8℃,心率107次/分,血压 Male, 52 years old, peasants, with palpitation, shortness of breath, weight loss year, exacerbations with fever, cough and a half on February 28, 1981 admission, patients often feel palpable shortness of breath, occasional precordial brief pain, weight loss, weight Decline of more than ten pounds. Usually a good diet, conscious fatigue, still capable of general labor. Uniform service asthma, vitamin C, coronary heart equal drug. Nearly half a month to cough, spit white phlegm, fever, chest pain, chest pain in the county hospital as the right hilar has a block shadow, suspected lung cancer hospital treatment. The fluorouracil, vincristine, cyclophosphamide chemotherapy for a course of treatment, the symptoms did not improve and nausea and vomiting, lower extremity edema, transferred to our hospital, outpatient coronary heart disease arrhythmia, lung cancer to be excluded from hospital treatment. Past two or three years of cold cough, denied high blood pressure, joint pain and other medical history. Physical examination: body temperature 38.8 ℃, heart rate 107 beats / min, blood pressure