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1临床资料患者,男,77岁,因“反复咳嗽、咳痰20余年,加重伴憋气5天”于2011年6月9日10∶50入住我院呼吸内科,既往有“下肢静脉曲张手术、白内障手术、及左侧腹股沟疝气手术”病史,否认“高血压、糖尿病、冠心病”病史,无药物及食物过敏史。入院诊断:慢性阻塞性肺病急性加重-慢性肺源性心脏病;下肢静脉曲张术后;白内障术后;左侧腹股沟疝气术后。入院查体:体温35.9℃、脉搏80次/min、呼吸23次/min、血压180/90 mmHg(1 mmHg=0.133 kPa),神志清、精神可,口唇无紫绀,桶状胸,呼吸平稳,双肺呼吸音粗,未闻及
1 clinical data of patients, male, 77 years old, because of “repeated cough, sputum for more than 20 years, increased with suffocation for 5 days ” at June 9, 2011 at 10:50 admitted to our hospital respiratory medicine, past Varicose surgery, cataract surgery, and left inguinal hernia surgery “history, denied ” hypertension, diabetes, coronary heart disease "history, no drug and food allergy history. Admission diagnosis: Acute exacerbation of chronic obstructive pulmonary disease - Chronic pulmonary heart disease; Postoperative varicose veins; Cataract surgery; Left groin hernia surgery. Admission examination: body temperature 35.9 ℃, pulse 80 beats / min, breathing 23 beats / min, blood pressure 180/90 mmHg (1 mmHg = 0.133 kPa), the spirit of mind, spirit can be, lips without cyanosis, Breath sounds coarse lungs, did not smell