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患者男,40岁,因受凉后出现干咳、胸闷、气短,不发热,在当地医院诊断为左下肺炎,用青霉素、丁胺卡那霉素等治疗1月余无效,故于1992年12月17日来我院就诊。查体:T37.5℃,P100次/min,R23次/min,Bp18/10kPa。吸气性呼吸困难,双下肺闻及细小水泡音,无杵状指,血、尿、粪常规均正常,肝功、BUN、ESR正常,ANA(一),RF(一),PaO_29.7kPa,PaCO_24.9kPa,肺功能检查示中度限制性通气功能障碍及弥散功能
Male patient, 40 years old, due to cold appear dry cough, chest tightness, shortness of breath, no fever, at the local hospital for the diagnosis of lower left pneumonia, penicillin, amikacin and other treatment more than 1 month invalid, so in December 1992 17 Day in our hospital. Physical examination: T37.5 ℃, P100 times / min, R23 times / min, Bp18 / 10kPa. Breathing dyspnea, double lower lung smear and small blisters sound, no clubbing, blood, urine, normal feces were normal, liver function, BUN, ESR normal, ANA, RF, PaO29.7kPa , PaCO_24.9kPa, pulmonary function tests showed moderate restrictive ventilation dysfunction and diffuse function