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临床资料:患者男,49岁,因“咯血1天”于2004年12月21日入院。阵发性咳嗽、咳痰,初为白色稠痰,继之咯鲜红色血液3次,总量约40 ml,偶感胸闷,无畏寒发热。既往有10~+年“慢性支气管炎”病史,“支气管扩张”史4年。此次入院查体:T36.9℃,P 80次/min,R 20次/min,BP 120/80 mmHg,急性病容,扶入病房,神清合作。双肺呼吸音增粗,左中下肺可闻及散在湿罗音,余无阳性体征。实验室检查:血常规:WBC 11.2×10~9/L,N 81.8%,RBC 5.45×10~(12)/L,Hb 148g/L,PLT 113×10~9/L肝、肾功能正常。小便常规:WBC 0～2个/HP。结合胸片临床诊断:(1)慢性支气管炎急性发作;(2)支气管扩张并出血。
Clinical data: Male patient, 49 years old, was admitted to hospital on December 21, 2004 because of “hemoptysis one day.” Paroxysmal cough, sputum, the initial white thick sputum, followed by slightly bright red blood 3 times, a total of about 40 ml, occasional chest tightness, no chills fever. Past history of 10 ~ + “chronic bronchitis”, “bronchiectasis” history of 4 years. The admission examination: T36.9 ℃, P 80 times / min, R 20 times / min, BP 120/80 mmHg, acute disease, into the ward, Shen Qing cooperation. Breathe sound thickening of the lungs, left and right lungs can be heard scattered in the wet rales, I no positive signs. Laboratory tests: blood: WBC 11.2 × 10 ~ 9 / L, N 81.8%, RBC 5.45 × 10 12 / L, Hb 148g / L, PLT 113 × 10 ~ 9 / L liver and kidney function is normal. Urine routine: WBC 0 ~ 2 / HP. Combined with chest X-ray clinical diagnosis: (1) acute exacerbation of chronic bronchitis; (2) bronchiectasis and bleeding.