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机构地区:[1]首都医科大学附属北京世纪坛医院呼吸与危重医学科,北京市100038 [2]首都医科大学附属北京朝阳医院呼吸与危重医学科
出 处:《中国全科医学》2014年第2期200-205,共6页Chinese General Practice
摘 要:Swyer-James综合征是一种少见病,临床上易误诊。我科近半年内共收治3例该病患者,均以反复咳嗽、咳痰为主要表现,影像学表现为单侧透明肺伴或不伴肺体积减少、支气管气体潴留征和肺动脉稀疏,主要依据放射影像学检查进行确诊,均经内科保守治疗后好转出院。临床上,Swyer-James综合征需与多种疾病相鉴别。本文旨在通过病例报道并对以往相关文献进行复习,加深对Swyer-James综合征的诊治认识,最大限度减少误诊。Swyer -James syndrome (SJS), rare in clinic, is difficult to diagnose but easy to misdiagnose. In this re- port, 3 SJS patients admitted to this hospital in recent half year presented mainly with recurrent cough, sputum. The image man- ifested unilateral hyperlucent lung complicated by or not by loss of lung volume, bronchial gas retention syndrome and sparse pul- monary artery, mainly on which the final diagnoses made. Three patients were improved and discharged after conservative treat- ment. Clinically, SJS needs to be distinguished with various diseases. This paper reviews relevant literatures by reporting cases, to deepen the understanding of SJS to minimize misdiagnoses.
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