患者,男,54岁。以咳嗽、咯痰20d,加重伴短暂性意识丧失7d入院。咳嗽呈阵发性痉挛样,咯少许白粘痰。7d来每遇连续咳嗽数次时,即出现面部发胀,不省人事,数秒种后自行清醒,对发作先兆有记忆,醒后无乏力及嗜睡,发作时无大小便失禁及肢体抽搐。不发热、无头痛、心悸及气促。否认头颅外伤及癫痫病史,嗜酒、不吸烟。查体:T36.7C,P80次/min,R24次/min,BP17.33/5.64kPa,身高175cm,体重98kg。神志清,两肺呼吸音普遍减低,未闻及干、湿罗音;心界不大,心律齐,各瓣膜区未闻及病理性杂音;腹膨隆、肝、脾肋下未及,腹水 Patient, male, 54 years old. To cough, expectoration 20d, aggravated with temporary loss of consciousness 7d admission. Cough paroxysmal spasms, slightly white phlegm. 7d to each successive cough several times, that is, facial swelling, unconsciousness, a few seconds after their own sober, memory of aura before the attack, no fatigue and lethargy wake up, no episodes of incontinence and limb seizures. No fever, no headache, palpitation and shortness of breath. Denied the history of head injury and epilepsy, alcohol, no smoking. Physical examination: T36.7C, P80 times / min, R24 times / min, BP17.33 / 5.64kPa, height 175cm, weight 98kg. Consciousness, lung breath sounds generally reduced, no smell and dry, wet rales; heart is not, heart Qi, the valve area is not heard of pathological murmur; abdominal bulge, liver, spleen and ribs under the abdomen, ascites