病历摘要张××,男性,61岁,社员。因咳嗽、气喘20余年,心慌、浮肿10余天,昏迷1天于1979年1月18日入院。患者有慢性气管炎病史已20余年,每遇感冒常引起咳嗽、咯痰、气喘发作,以冬春季节为甚,且逐年加重。近8年来,犯病时上述症状加重,并出现下肢浮肿、心慌。入院前2周,因受凉感冒上述症状明显加剧,痰量增多,呈粘脓性,不易咳出,呼吸困难,不能平卧。入院前1天,因头痛、烦躁不安,家属给其安宁2片,服后即入睡不醒。既往无其他慢性病史。 Medical record Zhang × ×, male, 61 years old, member. Due to cough, asthma more than 20 years, palpitation, edema more than 10 days, coma one day in January 18, 1979 admission. Patients have a history of chronic bronchitis has more than 20 years, often caused by a cold cough, expectoration, asthma attack, winter and spring is even worse, and increased year by year. In the past 8 years, the above symptoms were aggravated when the illness occurred, and the lower extremity edema and palpitation occurred. 2 weeks before admission, due to cold symptoms of the above symptoms were significantly aggravated, increased sputum volume, was sticky purulent, difficult to cough, difficulty breathing, not supine. One day before admission, due to a headache, irritability, family members to their peace 2, that is, wake up after serving. No previous history of other chronic diseases.