尿毒症肺误诊为肺部感染原因分析  

Analysis of the Causes of Uremic Lung Misdiagnosed as Pulmonary Infection

作　　者：梁丽玲[1] 肖永久[1] 解立新[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《临床误诊误治》2011年第7期53-54,共2页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨尿毒症肺的临床和影像特征,减少误诊漏诊。方法回顾分析1例尿毒症肺误诊病例资料。结果患者1年前诊断肾衰竭尿毒症期。因发热、呼吸道症状1月余入院,在外院按肺部感染抗感染治疗无效。入我院后经综合分析CT和实验室检查结果,确诊尿毒症肺,予抗感染及血液透析治疗,肺部症状改善。结论临床应重视尿毒症所致肺损害,胸部X线检查对诊断有一定帮助,充分的血液透析可改善病情。Objective To explore the clinical and imaging characteristics of uremic lung to reduce misdiagnosis and missed diagnosis.Methods The clinical data of a patient with uremic lung was retrospectively analyzed.Results The patient was admitted for fever and respiratory symptoms.He failed to response to anti-infective therapy outside hospital as pulmonary infection.Based on his chest CT imaging and laboratory examinations in our hospital,his final diagnosis was uremic lung.Anti-infective therapy and haemodialysis were performed,and the patient＇s respiratory symptoms were relieved after treatment.Conclusion Pulmonary damage caused by uremia should be stressed in the clinical practice.Chest x-ray examination is to some extent helpful in diagnosis.Adequate hemodialysis can improve pathogenetic condition.

关 键 词：尿毒症 肺水肿 误诊 肺炎 胸部放射摄影术 血液透析 

分 类 号：R692.5[医药卫生—泌尿科学]