【摘 要】
：
目的 To describe hstopathological changes in a critically ill patient with avian influenza A(H7N9).方法 A patient with a severe case of avian influenza A(H7N9)was described.结果 A chest computerized tomogra
【机 构】
：
Department of Respiratory and Critical Care Medicine,Fuzhou Pulmonary Hospital of Fu Jian
【出 处】
：
2016中华医学会呼吸病学年会暨第十七次全国呼吸病学学术会议
论文部分内容阅读
目的 To describe hstopathological changes in a critically ill patient with avian influenza A(H7N9).方法 A patient with a severe case of avian influenza A(H7N9)was described.结果 A chest computerized tomography(CT)scan showed diffuse ground-glass opacities and consolidation throughout the lungs.A resection of pulmonary bullae in the right middle lobe was performed by video-assisted thoracic surgery(VATS)based on theextracorporeal membrane oxygenation(ECMO)supportive technique on the 23rd day after the onset of symptoms because of aright pneumothorax persistent air leak.The histopathological findings of the resected lung tissue revealed pneumocytehyperplasia and fibroproliferative changes along with diffuse alveolar damage.Bronchoalveolar lavage fluid specimens forinfluenza A(H7N9)virus were continuously positive for more than three weeks,despite oseltamivir treatment,and continuousviral replication significantly prolonged the course of the disease.The patients clinical status continuously deteriorated,with thedevelopment of refractory hypoxemia due to progressive and rapid lung fibrosis,which was confirmed by the final histologicalchanges observed from a limited postmortem biopsy of lung tissue.Pre-terminally,he developed multi-organ failure and died onthe 39th day after symptom onset,despite corticosteroid treatment.
其他文献
目的 Chronic obstructive pulmonary disease(COPD)is characterized by chronic lung inflammation,emphysema and persistentairflow limitation.Oxidative stress is a major contributing factor in the pathogenes
目的 探讨双水平正压通气治疗急性心源性肺水肿的临床效果及针对性治疗护理的应用效果方法 选取就诊的急性心源性肺水肿患者84例,随机分为观察组和对照组,每组各42例。对照组患者采用吸氧、扩血管、强心等治疗及护理,观察组患者采用双水平正压通气及针对性治疗护理措施。比较两组患者治疗前后PaCO2,升高PaO2、血氧饱和度等血气指标变化,并调查患者的满意度。
目的 Reexpansion pulmonary edema is a rare complication following rapid reexpansion of a chronically collapsed lung,usually inthe same side of collapsed lung.方法 The present case report describes a 55-ye
目的 To investigate the in vitro regulatory mechanism of ER-β of OPN-Integrin interaction in the migration of human lung cancercells.方法 The expression of ER-βas well as OPN and Inregrin in human lung ca
目的 To analyze the results of the influenza surveillance in 2015,explore influenza pandemic characteristics and pandemicvariation to provide a scientific basis for the prevention and control of influen
目的 Epithelial to mesenchymal transition(EMT)is related to invasive andmetastatic during lung cancer development.ExtracellularHsp90α(eHsp90α)plays a critical role in tumor progression.Whether eHsp90α p
目的 分析临床护理路径在结核性胸膜炎患者中的护理效果.方法 抽选 2012 年 4 月-2014 年 5 月，我院接收结核性胸膜 炎患者 60 例，按入院先后顺序分成两组(常规组、干预组)，常规组患者行临床基础护理，干预组患者行临床护理路径，比对两组患者护理结果结果 干预组患者临床疾病好转率(93.3％)、护理满意率(96.7％)和常规组(73.3％、76.7％)相比，差异性 鲜明结论 临床结核性
目的 分析健康教育路径对慢性阻塞性肺疾病(COPD)住院患者认知水平、自护能力及满意度影响方法 选取89例实施常规健康教育的COPD住院患者为对照组,82例实施健康教育路径的COPD住院患者为观察组.于入院时及入院1个月后,比较两组患者认知水平、自护能力变化.比较两组患者满意度结果 入院时,两组患者认知水平及自护能力比较差异均无统计学意义；观察组患者认知水平及自护能力显著优于对照组,差异均有统计学
慢性阻塞性肺疾病是一种以气流受限不完全可逆为特征的呼吸系统疾病，由于疾病的影响患者多存在焦虑抑郁、睡眠障碍、运动耐力下降等问题 。目前COPD主要是药物治疗，非药物治疗作为辅助治疗越来越受到重视。其中，音乐疗法因其成本低、易实施而受到研究者的关注和应用。 本文将对音乐疗法在慢性阻塞性肺疾病患者中应用的相关研究进行分析和总结，以期为慢性阻塞性肺疾病患者的治疗和护理提供参考。
目的 探讨精细化培养方法在护士培养中的应用效果。方法 对不同层级的护士实施相应的精细化培养。结果 使护士迅速具备带教、教学、管理等能力。结论 提升了专科护理质量内涵，提供了安全、高效、优质的护理服务。