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患者,女、25岁、工人。主因咳喘两个月加重3天入院。两个月前因受凉后出现咳喘、咳少量粘痰,喘憋呈发作性,以夜间为著,每次持续1～2小时,服氨茶硷后稍缓解。三天前因受凉,上述症状加重。T36. 8℃,P108次/分、R20次/分、Bp 15/11kPa。急性病容、呼吸急促、不能平卧、胸廓两侧对称,三凹征阳性,两肺叩过清音,听诊布满哮鸣音,偶闻湿性罗音。心界不大,心率108次/分,节律规整,未闻及病理性杂音。肝脾未及。血Rt:Hb 120g/L,WBC 7. 0×10~9/L、N 0. 60、
Patient, female, 25 years old, worker. Mainly due to two-month cough and asthma admitted to hospital for 3 days. Two months ago due to cold cough, cough a small amount of phlegm, wheezing was episodic, as the night, each lasting 1 to 2 hours, taking ammonia theophylline slightly relieved. Three days ago due to cold, the above symptoms worsened. T36. 8 ° C, P108 beats / min, R20 beats / min, Bp 15 / 11kPa. Acute illness, shortness of breath, can not lie down, both sides of the symmetry of the thorax, three concave sign positive, two lungs knock clear voice, auscultation covered wheeze, even smell wet rales. Heart is not big, heart rate 108 beats / min, regular rhythm, no smell and pathological murmur. Liver and spleen not yet. Blood Rt: Hb 120g / L, WBC 7. 0 × 10 ~ 9 / L, N 0. 60,