患者６６岁，女性，东北边陲地区村民。１５岁时随家人开始抽吸自种自制土烟，（用干烟叶全张卷制，内含大量烟叶固有粗大茎丝），烟消耗量约半斤（每日），从不间断，迄今已５０余年，近几年来感胸闷、气急伴干咳，咳出物主要是黑色痰液，偶有两胸针刺样疼痛，半年前在当... Patient 66 years old, female, villagers from the northeast border area. At the age of 15, with his family began to suck self-made soil smoke, (with dried tobacco leaflets roll, containing a large number of tobacco inherent thick stem wire), the consumption of about half a catty (daily), from the uninterrupted, so far More than 50 years in recent years to feel chest tightness, shortness of breath with dry cough, cough is mainly black sputum, occasionally two brooch acupuncture pain, six months ago when ...