第一次讨论实习医师甲:患者男性,47岁,干部,门诊号482047.因进行性呼吸困难2年,于1984年3月9日就诊.2年前因吸烟诱发呛咳,持续约10分钟,咯出血痰数口。此后,每当体力活动或感冒时即感气喘、胸闷,严重时可听到响亮的“吼吼”音,近半年来无诱因不定时出现阵发性呛咳,发作时面色青紫,头晕.平时自觉良好,能胜任一般家务劳动.在当地胸部摄片数次及心电图检查均无异常 First Discussion Internship A: Patient Male, 47, Cadre, Outpatient No. 482047. Due to progressive dyspnea for 2 years, she was treated on March 9, 1984. Choking occurred for 2 years due to smoking and lasted for about 10 minutes , Slightly bleeding sputum number of mouth. Since then, whenever physical activity or flu that feel asthma, chest tightness, severe can hear the loud “roar” sound, no incentive for the past six months, intermittent occasional choking cough, seizures look bruising, dizziness. Consciously good, capable of general housework in local chest radiography several times and no abnormal ECG examination