论文部分内容阅读
本文报道两例粟粒性肺结核发生成人呼吸窘迫综合征(ARDS),复习12例的临床资料,并对诊断进行讨论。例1女性,32岁,发热8天,干咳4天,有严重的呼吸困难。体检:重病容,体温40℃,脉搏130,呼吸40,血压140/80mmHg。肺底可听到吸气末爆裂音,脾恰扪及,眼底正常。胸部 X 线片,示严重的肺水肿。动脉血气分析(吸入室内空气)pH7.53,动脉氧分压(PaO_2)41mmHg,动脉二氧化碳分压(PaCO_2)33mmHg,过剩碱(base excess,BE)+6,心电图为非特异性 T 波倒置,肺楔压10mmHg。临床诊断为非心源性肺水肿。当吸纯氧时,PaO_2仅为
This article reports two cases of miliary tuberculosis adult respiratory distress syndrome (ARDS), review of 12 cases of clinical data, and to discuss the diagnosis. Example 1 Female, 32 years old, fever 8 days, dry cough 4 days, severe respiratory problems. Physical examination: seriously ill, body temperature 40 ℃, pulse 130, breathing 40, blood pressure 140 / 80mmHg. End of the lungs can be heard at the end of inhalation crackle, spleen just palpable and fundus normal. Chest X-ray showed severe pulmonary edema. Arterial blood gas analysis (inhalation of room air) pH7.53, arterial oxygen pressure (PaO_2) 41mmHg, arterial carbon dioxide partial pressure (PaCO_2) 33mmHg, excess base (BE) +6, ECG nonspecific T wave inversion Wedge pressure 10mmHg. Clinical diagnosis of non-cardiogenic pulmonary edema. When pure oxygen is taken, PaO 2 is only