病例摘要住院医师:患者男,65岁,1985年1月2日入院。因刺激性干咳、运动性呼吸困难一年多,加重半月来诊。从1983年冬无明显原因出现刺激性干咳,运动后气短。无发热、咯血、盗汗,经消炎对症治疗无效,休息后症状可缓解。于1984年冬经常感冒,上述症状加重,有时咳少许黄痰,上楼及快走时出现气短、乏力,周身不适。近半月因受凉,咳嗽加重,伴有黄痰,动则气短,出现口唇发绀。在地段医院诊断慢性支气管炎,用青霉素及氨苄青霉素治疗,咳黄痰消失,但咳嗽、呼吸困难无好转。既往健康。否认粉尘及有 Case Summary Resident: Patient Male, 65 years old, admitted to hospital on January 2, 1985. Due to irritating dry cough, exercise-induced dyspnea more than a year, increased half a month to visit. From 1983 there was no obvious reason for irritating dry cough, shortness of breath after exercise. No fever, hemoptysis, night sweats, symptomatic treatment by anti-inflammatory ineffective, rest can ease the symptoms. In the winter of 1984 often cold, the symptoms worsened, and sometimes cough a little yellow sputum, upstairs and fast walking shortness of breath, fatigue, discomfort. Nearly half a month due to cold, increased cough, accompanied by yellow sputum, moving the shortness of breath, there lips cyanosis. In the district hospital diagnosis of chronic bronchitis, with penicillin and ampicillin treatment, cough, yellow sputum disappeared, but cough, dyspnea no improvement. Past health. Denied dust and have