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患者,女,59岁。因咳嗽8个月、呼吸困难进行性加重6个月,于1989年5月26日以“气管肿瘤”收入院。主诉;8个月前起,咽部有异物感,阵发性干咳,有时为阵发性气喘。发病2个多月后出现活动后呼吸困难,近月来加重,并有喘呜,但无声嘶、咳痰及咯血等。曾诊为“哮喘”或“慢性咽炎”,给消炎、止咳等治疗均未见效。病后食欲正常,无吞咽梗阻感。体检:患者有明显吸入性呼吸困难,呼吸音粗糙,有轻度三凹征及缺氧征。活动后呼吸困难明显加重。可平卧,卧位时呼吸困难稍减轻。
Patient, female, 59 years old. 8 months due to cough, dyspnea progressive aggravate 6 months, May 26, 1989 to “tracheal tumor” income hospital. Chief complaint; 8 months ago, the throat foreign body sensation, paroxysmal dry cough, sometimes paroxysmal asthma. More than 2 months after onset of activity occurs after breathing difficulties in recent months, and wheezing, but no hoarseness, sputum and hemoptysis. Have been diagnosed as “asthma” or “chronic pharyngitis” to anti-inflammatory, cough and other treatment were not effective. Normal appetite after illness, no swallow sense of obstruction. Physical examination: Patients with significant aspiration of dyspnea, rough breathing sounds, mild three concave sign and hypoxia sign. Respiratory dysfunction after the activity significantly increased. Can be supine, breathing difficulty slightly lighter when lying.