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患者,男,26岁,未婚.以“鼻塞、脓涕、咳嗽、脓痰、间断咯血20年,加重伴发热1个月”之主诉于1986年12月6日入院.患者自6岁起常感鼻塞、流脓涕,伴咳嗽、脓痰,以左侧卧位时痰量增多,1日可达300ml.时有痰中带血丝,1981年因大咯血(量约400ml)在外院诊断为“支气管扩张”而行右肺下叶切除术.术后未再咯血,但仍咳脓痰.1个月前于受凉后发热,痰量增多.家族中无类似疾病.入院时查体:T39℃,P108/min,
The patient, male, aged 26, unmarried, was admitted to hospital on December 6, 1986. The chief complaint was “nasal obstruction, purulent nasal discharge, coughing, purulent sputum, intermittent hemoptysis for 20 years, exacerbation with fever for 1 month.” Patients were 6 years old Sore throat, purulent nasal discharge, cough, purulent sputum to the left lateral position when the amount of sputum increased up to 300ml on the 1st. There are sputum bloodshot, in 1981 due to massive hemoptysis (about 400ml) in the hospital diagnosed as “Bronchiectasis” and the right lower lobe resection. No postoperative hemoptysis, but still cough purulent sputum .1 months ago in the cold after the fever, sputum increased. No similar family disease. Physical examination at admission: T39 ℃, P108 / min,