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患者 女,49岁。因咳嗽、气短3年,加重2个月,于1997年3月20日以“喘息性支气管炎”收入院。既往从事养鸡工作5年,不吸烟,否认结核、肿瘤及慢性咳嗽史。查体:体温、脉搏、血压均在正常范围,无紫绀,浅表淋巴结不大。轻度三凹征,双肺叩诊音清,可闻及广泛性散在的哮鸣音。心率80次/分,律齐。双下肢无水肿,轻度杵状指。实验室检查:血沉、血谷丙转氨酶、白蛋白和球蛋白定量、血IgG、IgA、IgM均在正常范围。痰瘤细胞、抗酸杆菌各查6次均阴性。肺功能检查示:轻度限制性通气障碍,重度阻塞性通气障碍。胸部X线检查示:双肺广泛性散在的斑片状浸润影,以中下肺为重。纤
Female patient, 49 years old. Due to cough, shortness of breath for 3 years, increased 2 months, March 20, 1997 to “asthmatic bronchitis” income homes. Previously engaged in chicken work for 5 years, no smoking, denied tuberculosis, cancer and history of chronic cough. Physical examination: body temperature, pulse, blood pressure are in the normal range, no cyanosis, superficial lymph nodes is not. Mild three concave signs, lungs percussion sound clear, can be heard and widespread scattered wheeze. Heart rate 80 beats / min, law Qi. No lower extremity edema, mild clubbing refers to. Laboratory tests: ESR, blood alanine aminotransferase, albumin and globulin quantitative, blood IgG, IgA, IgM are in the normal range. Sputum cells, acid-fast bacilli each check 6 times were negative. Pulmonary function tests showed: mild restrictive ventilation disorders, severe obstructive ventilatory disorders. Chest X-ray examination showed: extensive patchy pulmonary lungs infiltrated shadow, in the lower lung as the most important. Fiber