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患者男,50岁,于1981年1月8日入院。该患有慢性咳喘史15年余,每年冬春发病,近年来因绿脓杆菌感染,投多种抗生素,疗效不佳,本次因咳喘加重,咳大量黄痰、血痰伴胸闷、气短而入院.既往有链霉素过敏史。查体:神志清楚,呈急性痛苦面容,俯卧届膝位,呼吸急促。T36.9℃,P106次,R24次,BP100/80,颜面及口唇发绀,颈静脉怒张,呈肺气肿体征,两肺可闻哮鸣音及中等量中、小水泡音。剑下可见
The patient, male, 50 years old, was admitted on January 8, 1981. The chronic cough and asthma history of more than 15 years, the annual incidence of winter and spring in recent years due to Pseudomonas aeruginosa infection, cast a variety of antibiotics, curative effect is poor, the cough and asthma exacerbation, cough a lot of yellow sputum, bloody sputum with chest tightness, shortness of breath The admission history of streptomycin allergy. Physical examination: conscious, showing an acute painful face, prone knees, shortness of breath. T36.9 ℃, P106 times, R24 times, BP100 / 80, face and lips cyanosis, jugular vein engorgement, showed signs of emphysema, two lungs can be heard wheeze and moderate amount of small blisters sound. Can be seen under the sword