浅析对特发性肺含铁血黄论文代写素沉着症1例报告及文献复习

浅析对特发性肺含铁血黄论文代写素沉着症1例报告及文献复习

浅析现当代翻译对硕士论文范文 我国文化的影响研究

要害词:现代翻译;今世翻译;“五四”举动;中国文化;译者 摘要:20世纪初至今是我国翻译的现今世期。我国现代翻译从孕育新思想和新常识开始,不只为国人解除语言文字障碍,

【摘要】 目标 总结儿童特发性肺含铁血黄素岑寂症(idiopathic pulmonary hemosiderosis,IPH)的临床表示、尝试室查抄、影像学、病理学特点,并探讨诊断、治疗要领和预后。要领 本例患者举办尝试室、影像学、深部吸痰并行组织病理学查抄确诊,糖皮质激素治疗并随访,探讨本例患者并团结海表里相关报道 文献举办温习。功效 临床表示主要是重复爆发咯血、咳嗽、贫血,部门心慌、胸闷、乏力,肺部体征不明明,影像学改变可见肺部弥漫性毛玻璃样改变,相关免疫学查抄(如抗核抗体、抗中性粒细胞包浆抗体)均阴性,血阐明呈小细胞低色素性贫血,血清铁低落,胆红素升高,重复深部痰液可找到含铁血黄素巨噬细胞。结论 儿童特发性肺含铁血黄素岑寂症临床表示多样,需与缺铁性贫血、支气管肺炎、肺结核相辨别,容易误诊、漏诊,痰、胃液及支气管肺泡灌洗液活检可提高阳性率,应增强对本病的认知,赶早诊断和过问;长时间糖皮质激素治疗后可使病情处于较不变状态;预后不良。
  【要害词】 特发性肺含铁血黄素岑寂症;儿童; 文献温习
  
  Idiopathic pulmonary hemosiderosis:report of one case and literature review
  
  LI Chun-hua,HUANG Hai-zhong, ZOU Qing-mei.
  The Third People’s Hospital of Huizhou City,Guangdong 516001,China
  
  【Abstract】 Objective To summarize the clinical manifestation, laboratory examination, radiological and pathological characteristics of idiopathic pulmonary hemosiderosis in children and discusses the diagnosis, treatment and prognosis. Methods The patient for laboratory, imaging, deep sucking phlegm parallel histopathological examination confirmed, corticosteroid and followed-up, discusse the patient and combined domestic and foreign literature review reports. Results Clinical manifestations of main were recurrent haemoptysis, cough, anemia, partial bosom frowsty, flustered, feeble, no obvious signs in lungs. Radiculopathy lung diffuse ground-glass appearance was changed, relevant immunological tests(e.g, antinuclear antibodies, neutrophils patina antibodies)were negative, blood analysis was a hypochromic microcytic anemia, elevated bilirubin, serum iron reduces, deep sputum containing blood can be found macrophages. Conclusion Children idiopathic pulmonary hemosiderin clinical manifestations of diversity, with iron deficiency anemia, bronchopneumonia, tuberculosis, it is easy to be misdiagnosed, distinguish repeatedly, the diagnosis of gastric juice and bronchoaleolar laage biopsy can improve the rate of disease, should strengthen the cognition, early diagnosis and intervention.Long-range cocorticoid therapy can make an illness in a stable state.The poor prognosis.
  【Key words】 Idiopathic pulmonary hemosiderosis; Children; Literature review
  
  特发性肺含铁血黄素岑寂症是一组较少见肺泡毛细血管出血性疾病,常重复爆发,并以大量含铁血黄素积聚于肺内,最后导致肺间质纤维化,临床表示为重复爆发的咯血、缺铁性贫血和肺浸润三联征[1],多见于儿童。
  1 临床资料
  1.1 临床表示及查抄
  患者女,13岁,因“再发咯血、面黄、气促、乏力4 d” 于2010年1月3日入院。曾于2008年5月始咯血,先后在“故乡医院”及当地私人诊所治疗(用药不详)后咯血遏制。2009年3月呈现面黄、气促、本文来自(),未经答允,不得转载。乏力、咯血于内地医院“输血1袋”,“胸片示大片状阴影”未予重视,之后到某省级医院抽血查抄(功效不详),大抵结论“营养不良所致贫血”。入院查体:重度贫血貌,全身皮肤黏膜无皮下出血点及皮疹,浅表淋投合未触及,咽轻度充血,双侧扁桃体不肿大,呼吸稍促,未见“三凹征”,右中肺呼吸音较左侧削弱,未闻及啰音,心率128次/min,未及杂音, 论文,腹部软, 硕士论文 ,肝脾肋下未及,双下肢无浮肿。(1月4日)肝成果示T-BIL 24.1 μmol/L,I-BIL 21.6 μmol/L, 血清铁2.7 μmol/L,血阐昭示WBC 6.3×109/L,RBC 2.26×109/L,HGB 49 G/L,N 0.669,HCT 0.171L/L,MCV 75.7fL,MCH 21.7pg,MCHC 287 g/L,PLT 294×109/L,Rt 1.5%,大便潜血试验阳性,生化阐明,肾成果,铁卵白,转铁卵白,地贫筛查、心酶正常肌钙卵白,心电图、G-6-PD、及巨细便阐明均正常,胸片示右肺大片阴影。入院诊断:咯血查因。(1月5日)胸部CT示右肺大片状毛玻璃样及斑片样阴影,血冷凝集尝试,免疫八项,肝脾B超,Coomber试验阴性及血冷凝集尝试均正常,痰病理查抄(1月10日第2次)痰病理回报:痰涂片:大量含铁血黄素巨噬细胞(如下图),(1月10日)ANCA抗体阴性。

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