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患者,男,56岁。因咳嗽、咳痰、喘息反复发作二年,近来又阵发性喘憋、咳嗽并咯少量血痰,在当地治疗二月余,效果不明显,于1987年2月21日来本院住院。查体:神清,呼吸急促,口唇轻度紫绀,双肺散在少许干性罗音,肺底部闻及小水泡音,心脏听诊(一)。化验:血红蛋白140g/L,白细胞12.6×10~9/L,中性88%,淋巴12%,血沉35mm/h,痰培养为肺炎双球菌,绿色链球菌。X 线胸片示:双肺纹理增强,左下肺见蜂窝状改变。初步诊断:慢性喘息型支气管炎,支气管扩张?
Patient, male, 56 years old. Due to cough, sputum, wheezing repeated attacks for two years, recently paroxysmal wheezing, cough and a small amount of bloody sputum, the local treatment of more than February, the effect is not obvious, in February 21, 1987 to our hospital. Examination: Shenqing, shortness of breath, lips mild cyanosis, lungs scattered in a little dry rales, lungs smell the sound of small blisters, cardiac auscultation (a). Laboratory tests: hemoglobin 140g / L, leukocytes 12.6 × 10 ~ 9 / L, neutral 88%, lymph 12%, ESR 35mm / h, sputum culture for Streptococcus pneumoniae, Streptococcus green. X-ray showed: double lung texture enhancement, see the left lower lung changes in the honeycomb. Preliminary diagnosis: chronic asthmatic bronchitis, bronchiectasis?