患者 ,男 ,83岁。因反复咳嗽、咳痰四十余年 ,再发伴气急十天而于 1999年 7月 8日入院。既往有肺结核病史和痛风病史 ,曾经正规抗痨治疗。本次发作因受凉 ,后感恶寒 ,发热 (测体温 38～ 39℃ ) ,咳嗽 ,痰色黄质稠 ,气急明显。体检 :气管左偏 ,两肺大量干罗音 ,端坐位 ,呼吸急促 Patient, male, 83 years old. Due to repeated cough, sputum more than 40 years, recurrence accompanied by acute gas ten days in July 8, 1999 admission. Previous history of tuberculosis and history of gout, once formal anti-tuberculosis treatment. The episode due to cold, chills, fever, fever (measured body temperature 38 ~ 39 ℃), cough, phlegm yellow thick thick, shortness of breath obvious. Physical examination: left trachea, lungs, a large number of dry rales, sitting, shortness of breath