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李××,男、36岁。咳嗽3年,气短2年,感冒及气候改变时咳嗽加重。有浓痰,无咯血,体重下降。近一年气喘加重,活动后加剧。两年来一直对症治疗,1989年曾行抗痨治疗3月,无效。体检:T36.8℃,P 96次/分,BP17.1/10.7KPa,发育正常,消瘦,两颊红润,淋巴结不大。两肺叩诊过度反响,呼吸音减弱,偶有哮鸣音。腹软无压痛,肝脾未扪及,脊柱与四肢无畸形,生理反射存在,病理反射未引出。
Lee × ×, male, 36 years old. Cough for 3 years, shortness of breath for 2 years, cough when the flu and climate change. Phlegm, no hemoptysis, weight loss. Asthma exacerbated in the past year and intensified after the activity. Two years has been symptomatic treatment, in 1989 had anti-tuberculosis treatment March, invalid. Physical examination: T36.8 ℃, P 96 beats / min, BP17.1 / 10.7KPa, normal development, weight loss, rosy cheeks, lymph nodes is not large. Percussion rash over two lungs, breath sounds weakened, wheezing occasionally. Abdominal tenderness without tenderness, liver and spleen are not palpable, spine and limbs without deformity, the existence of physiological reflex, the pathological reflex did not lead.