以咯血、發(fā)熱為主要表現(xiàn)的過(guò)敏性肺炎一例
發(fā)布時(shí)間:2018-04-11 19:17
本文選題:過(guò)敏性肺炎 + 止血治療。 參考:《中國(guó)呼吸與危重監(jiān)護(hù)雜志》2017年05期
【摘要】:正臨床資料患者,男性,76歲,農(nóng)民,因"反復(fù)咳嗽、胸悶1年,咯血1周"于2016年12月10日收入院;颊1年來(lái)反復(fù)無(wú)明顯誘因出現(xiàn)咳嗽、痰少,伴胸悶,體力輕度下降,但不影響一般活動(dòng),未予重視及治療。1周前于干農(nóng)活后出現(xiàn)咯血,為成口鮮血,5~6口,遂至本地某二級(jí)醫(yī)院就診,予抗感染、止血治療無(wú)好轉(zhuǎn),再次行走后出現(xiàn)咯血50~60 ml,遂轉(zhuǎn)入我院。病程初期無(wú)發(fā)熱,無(wú)盜汗、納差,無(wú)消瘦,無(wú)胸痛,無(wú)黃膿痰。飲食睡眠可。查體:T 36.5℃,R 18次/min,Bp125/70mm Hg(1mmHg=
[Abstract]:A 76-year-old male with clinical data was admitted to the hospital on December 10, 2016 because of "recurrent cough, chest tightness for 1 year and hemoptysis for 1 week".There was no obvious inducement to cough, phlegm was low, chest tightness, and physical strength was slightly decreased in the past 1 year, but it did not affect general activities, and no attention was paid to it and hemoptysis occurred after 1 week of treatment.Then to a local level II hospital, anti-infection, hemostatic treatment did not improve, again after walking appeared hemoptysis 50ml, then transferred to our hospital.No fever, no night sweat, no anorexia, no wasting, no chest pain, no yellow pus sputum.Eat and sleep.Chuck: T36.5 鈩,
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