鹦鹉热衣原体肺炎合并胸腔积液三例并文献复习  

Psittacosis Pneumonia with Pleural Effusion:Report of Three Cases and Literature Review

作　　者：胥杰[1] 盛海燕[1] 鲁辛辛[2] 刘晓芳[1] XU Jie;SHENG Haiyan;LU Xinxin;LIU Xiaofang(Department of Respiratory and Critical Care Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Laboratory Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院呼吸与危重症医学科,北京100730 [2]首都医科大学附属北京同仁医院检验科,北京100730

出　　处：《中国医学科学院学报》2022年第5期923-928,共6页Acta Academiae Medicinae Sinicae

基　　金：国家科技重大专项(2014ZX10004005)。

摘　　要：既往认为鹦鹉热衣原体肺炎合并胸腔积液相对少见,国内文献对其胸腔积液的特征鲜有报道。现总结3例鹦鹉热衣原体肺炎合并胸腔积液,临床表现为以淋巴细胞为主的渗出性胸腔积液,伴腺苷脱氨酶水平升高。复习具有较完整临床和肺部影像学资料的鹦鹉热衣原体肺炎的相关文献,结果显示其影像学表现以肺部实变为特点,胸腔积液并非少见,但多为少量,鹦鹉热衣原体肺炎合并胸腔积液患者病情更重,缺氧明显,有创通气风险增加。It was generally believed that psittacosis pneumonia(pneumonia caused by Chlamydia psittaci)was rarely combined with pleural effusion and the characteristics of pleural effusion were rarely reported in the domestic literature.Herein,we reported three cases of pleural effusion due to psittacosis pneumonia,with elevated level of adenosine deaminase and lymphocyte-predominant exudative pleural effusion.Further,we reviewed the psittacosis pneumonia reports with complete clinical and lung imaging data.The imaging manifestations included pulmonary consolidation and common occurrence of a small amount of pleural effusion.The patients of psittacosis pneumonia combined with pleural effusion had severe symptoms,obvious hypoxia,and increased risk of invasive ventilation.

关 键 词：鹦鹉热衣原体 肺炎 胸腔积液 腺苷脱氨酶 

分 类 号：R518.1[医药卫生—内科学]