肺嗜酸粒细胞浸润症误诊为肺结核1例

发布时间：2018-03-03 08:03

本文选题：继发型肺结核　切入点：肺呼吸音　出处：《广东医学》2014年15期 　论文类型：期刊论文

【摘要】：正患者,女,46岁,因间断咳嗽、咳痰半年,加重伴气促1个月于2013年7月16日入院。患者既往史、个人史、家族史无特殊。病史特点:患者6个月来无明显诱因下出现阵发性咳嗽,咳少量白痰和黄黏痰,无痰血及咯血,病初未予重视,1个月来症状逐渐加重,有活动后胸闷,休息后可缓解,无胸痛、心悸,无发热,本次入院前在当地社区抗感染(药物不详)治疗1周,症状无改善,遂来我院。体格检查:气急貌,口唇黏膜无紫绀,右肺呼吸音增粗,左肺呼吸音清,两肺未闻及干湿性Up音,心律齐,腹软,无压痛及反跳痛,双下肢无水肿。入院后考虑继发型肺结核进展期,辅助检查:血常规:WBC 8.7×109·L-1,N71.9%,Hb 118 g/L,Plt 213×109·L-1,EOS 0.521×109·L-1,E0%
[Abstract]:The patient, 46 years old, was admitted to hospital on July 16th 2013 due to intermittent cough, expectoration for half a year and exacerbation with shortness of breath. Family history was not special. History characteristics: the patient developed paroxysmal cough without obvious inducement in the past 6 months, coughing a small amount of white phlegm and yellow sticky phlegm, no phlegm, blood and hemoptysis, the disease was not paid attention to at the beginning of the disease, the symptoms gradually aggravated in the past month, and there was chest tightness after the activity. After rest can be relieved, no chest pain, palpitations, no fever, this time in the local community anti-infection (drug unknown) treatment for 1 week, symptoms have not improved, and came to our hospital. Physical examination: acute appearance, lip mucosa without cyanosis, The right lung breath sound is thicker, the left lung breath tone is clear, the two lungs do not hear the dry and wet up sound, the arrhythmia, the abdomen is soft, has no tenderness and rebound pain, both lower extremities have no edema. After admission, consider the secondary pulmonary tuberculosis progression, auxiliary examination: blood routine examination: WBC 8.7 脳 109 路L -1 + N71.9 HB 118 g / L Plt 213 脳 109 路L -1 EOS 0.521 脳 109 路L -1 EOS 0. 0%, after admission:% WBC 8.7 脳 109 路L ~ (-1) Hb118 脳 10 ~ (9) 路L ~ (-1) EOS 0.521 脳 10 ~ (9) 路L ~ (-1) EOS.
【作者单位】：江苏省无锡市第五人民医院呼吸科;
【分类号】：R563

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