高热、咳嗽、呼吸困难、双肺多发实变  

High Fever,Cough,Dyspnea and Bilateral Multiple Pulmonary Consolidation

作　　者：余碧芸[1] 吴宏成[1] 汤耀东[1] 周莹艳[1] 汪春年 

机构地区：[1]浙江省宁波市医疗中心李惠利医院呼吸科,315040 [2]宁波市临床病理诊断中心

出　　处：《中国全科医学》2015年第26期3219-3222,共4页Chinese General Practice

摘　　要：临床有多种疾病可因双肺多发实变而发生急性呼吸衰竭,但病情危重病理检查又无法提供明确诊断时会让临床医师感到棘手。本文报道1例高热、咳嗽、呼吸困难、双肺多发实变的危重患者,经皮肺穿刺活检病理检查后诊断仍不明确,笔者所在科室对其临床资料进行了分析讨论,临床考虑为重症隐源性机化性肺炎或急性间质性肺炎,最终抢救成功。many diseases cause acute respiratory failure as a result of bilateral multiple pulmonary consolidation,and it puts physicians in a difficult situation when the patients is in critical condition and the pathological examination can′t provide a definite diagnosis. This paper reported a case of a critical patient with high fever, cough, dyspnea and bilateral multiple pulmonary consolidation. The pathological examination by percutaneous pulmonary biopsy could not give a definite diagnosis. After the analysis of the clinical data,the possibility of critical cryptogenic organizing pneumonia or acute interstitial pneumonia was considered,and the patient was successfully salvaged.

关 键 词：隐源性机化性肺炎 特发性间质性肺炎 肺实变 呼吸功能不全 

分 类 号：R562.21[医药卫生—呼吸系统]