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女,64 y.间断性咳嗽2年余,冬季加重,咳白色泡沫痰或黄色脓痰.因症状再发并伴胸闷、喘气1wk而以支气管炎并感染收入院.既往有冠心病史20 a.查体:T36.5℃,P90 beats/min,BP25/14 kPa(183/100 mmHg);发育中等.营养良好,精神稍差,咽部无明显充血,双肺底可闻细湿啰音及少许干性啰音;HR90 beats/min,津齐,未闻杂音;腹平软,无压痛及反跳痛,肝脾不大.实验室检查:血尿常规正常.血沉40mm/h,肝肾功能检查无异常;胸部X线片显示双肺纹理增粗.紊乱,网状改变模糊;心影横膈正常.遂行抗感染治疗,阿乐西林钠(金
Female, 64 y. Intermittent cough more than 2 years, winter increased, cough white foam sputum or yellow purulent sputum due to recurrence of symptoms and chest tightness, gasping 1wk bronchitis and infection income hospital .Previous history of coronary heart disease 20 a Physical examination: T36.5 ℃, P90 beats / min, BP25 / 14 kPa (183/100 mmHg); moderately developed, well-nourished, slightly less energetic, with no obvious hyperemia in the pharynx, And a little dry rales; HR90 beats / min, Tianjin Qi, unheard noise; abdominal soft, no tenderness and rebound tenderness, liver and spleen not. Laboratory tests: hematuria routine normal. ESR 40mm / h, liver and kidney No abnormalities in function tests; Chest X-ray showed thickening of both lungs, disordered reticulation, normal diaphragmatic diaphragm, anti-infective therapy,