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一、病例介绍男,39岁,因慢性肺病和不育症而入院。病人8岁前是健康的,此后,开始反复罹患鼻窦炎和肺炎,在发作期间,有轻度慢性咳嗽。入院前10年X线照片:右上颌窦稍缩小,没见骨质破坏,余均正常;胸部显示过度扩张,左下肺有斑点状浸润,上肺有线条状致密阴影,心与纵隔正常。肺功能试验有轻微阻塞性缺陷。近10年来,病人间歇咳出淡绿色痰;曾服用四环索、茶碱合剂、盐酸麻黄素和苯巴比妥。34岁结婚至今其妻子未能受孕,但经妇科检查,未发现异常。6岁时作扁桃体切除术;自21岁起,有抽烟史。
First, the case introduction Male, 39 years old, hospitalized for chronic lung disease and infertility. The patient was healthy before the age of 8, after which she began to suffer from sinusitis and pneumonia repeatedly, with mild chronic cough during the episode. 10 years before admission X-ray: the right maxillary sinus slightly reduced, no bone destruction, I were more than normal; chest showed excessive expansion of the left lower lung speckled infiltration, the upper lung linear dense stripes, heart and mediastinum normal. Pulmonary function tests have minor obstructive defects. In the past 10 years, the patient intermittently coughed pale green sputum; had taken tetracyclic cable, theophylline mixture, ephedrine hydrochloride and phenobarbital. 34-year-old married her wife failed to conceive, but after gynecological examination, found no abnormalities. Tonsillectomy at age 6; smoking history since age 21.