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来自肺的补体
Complements from the Lung


Nicholas S. Downing ... 呼吸系统疾病 • 2018.11.01

本刊的这一栏目中,某真实患者的信息按阶段(粗体)呈现给一名临床专家,后者对这些信息做出回应并和读者分享其推理(普通字体)。作者随后做出评论。

 

一名26岁男性因胸痛到本院就诊。6周前,他因左肺下叶的社区获得性肺炎被收入另一家医院治疗,肺炎并发低氧血症型呼吸衰竭,采用无创正压通气进行了治疗。出院后几周内,患者完成左氧氟沙星疗程后,咳嗽和气短消失。在本次就诊前2周,患者出现胸痛,并持续加重。胸痛剧烈,局限于左下胸壁,吸气时加重,但身体用力或体位不影响胸痛。此外,患者有寒战和盗汗,但未发现发热。胸痛伴有恶心和间歇性呕吐。患者报告无咯血、腹痛、腹泻、排尿困难、多尿、肉眼血尿、腿部或足部肿胀、肌肉疼痛、关节疼痛、皮疹、颈部疼痛或头痛。





作者信息

Nicholas S. Downing, M.D., Ciaran J. McMullan, M.D., Helmut G. Rennke, M.D., Bruce D. Levy, M.D., and Joseph Loscalzo, M.D., Ph.D.
From the Departments of Medicine (N.S.D., C.J.M., B.D.L., J.L.) and Pathology (H.G.R.), Brigham and Women’s Hospital and Harvard Medical School — both in Boston. Address reprint requests to Dr. Levy at Pulmonary and Critical Care Medicine, Brigham and Women’s Hospital, BTM 3016, 60 Fenwood Rd., Boston, MA 02115, or at blevy@bwh.harvard.edu.

 

参考文献

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