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【简答题】
,女,78岁,2000年12月15日初诊。患者10年前开始每于着凉后出现较长时间咳嗽咯痰,或有喘憋,服化痰药后症状可缓解,每年两季难熬。患者1因天气骤暖而衣着单薄,当晚即感发热,微恶风寒,咳嗽,口微渴,自服感冒片后恶寒消失,然仍发热,咳嗽,咯黄色黏痰,自服止咳药水(不详)5瓶后,咳嗽不减。刻下症见:咳嗽加重,喘憋气急,不能平卧,咯黄稠痰,恶寒,无汗,头痛,声嘎,咽痛,口干,心烦,大便干结,小便。查体:T39℃,P106次/分,R24次/分,BP115/75mmHg。咽部轻度充血,双侧扁桃体不大,桶状胸,叩诊双肺过清音,双肺呼吸音低,左下肺可湿啰音,未干啰音。舌质红,苔黄腻,脉滑数。辅助检查:血常规:白细胞12.7×10 9 /L,中性粒细胞82%。胸片:双肺纹理粗,左下肺可见大片状模糊影,呼吸功能检查,混合型通气功能下降,以阻塞性通气功能障碍为主。作出中医病证诊断及西医疾病诊断。
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