本文選題：雙下肺 + 隱球菌　； 參考：《實(shí)用醫(yī)學(xué)雜志》2016年20期

【摘要】：正患者女,26歲,學(xué)生。因"咳嗽伴左側(cè)胸痛10 d",于2016年4月8日來(lái)我院就診。患者訴10d前無(wú)明顯誘因出現(xiàn)咽部不適,咳嗽咳痰,痰中帶血,左側(cè)胸痛,未見(jiàn)發(fā)熱、畏寒、寒戰(zhàn)等不適。既往體健,有接觸霉變粉塵史。查體:右下肺呼吸音偏低,兩肺未聞及干、濕Up音。反復(fù)行痰細(xì)菌、真菌涂片及培養(yǎng)均為陰性,多次痰涂片找抗酸桿菌為陰性。血常規(guī):白細(xì)胞計(jì)數(shù)6.22×10~9/L,嗜中性粒細(xì)胞百分比:54.50%。紅細(xì)胞沉降率:35mm/h。根據(jù)檢查結(jié)果及外院胸部CT結(jié)果:雙下肺斑片狀實(shí)變,診斷考慮:細(xì)菌性肺炎。給予阿奇霉素及哌拉西林鈉舒巴坦鈉治療后,療效不佳。4月14日查胸部CT提
[Abstract]:The patient is 26 years old, a student. The patient came to our hospital on April 8, 2016 because of "cough with left chest pain for 10 days". There were no obvious causes of pharyngeal discomfort, cough and sputum, blood in sputum, left chest pain, no fever, chills, shivers and so on. Previous health, exposure to mildew dust history. Body check: lower right lung respiratory tone is low, both lungs do not smell and dry, wet up sound. Repeated sputum bacteria, fungal smears and culture were negative, and repeated sputum smears were negative for acid-fast bacilli. Blood routine: leukocyte count 6.22 脳 10 ~ 9 / L, neutrophil percentage: 54.50%. The erythrocyte sedimentation rate was 1: 35 mm / h. According to the results of examination and chest CT of our hospital, the diagnosis of bacterial pneumonia was considered. Azithromycin and piperacillin sodium sulbactam sodium treatment, the efficacy is not good. 14 April check chest CT lifting
【作者單位】： 暨南大學(xué)附屬第一臨床醫(yī)學(xué)院;
【基金】：國(guó)家自然科學(xué)基金青年基金項(xiàng)目(編號(hào):81302030)
【分類(lèi)號(hào)】：R519.4

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