Kudo Sachiko, Yanagi Fumiharu, Kozuma Seiji, Goto Shinichi, Nagata Chiyoko
Department of Anesthesia, Kumamoto Rosai Hospital, Yatsushiro 886-8533.
Masui. 2002 Aug;51(8):924-6.
A 29-year-old woman at 37 weeks of gestation was brought to our hospital as an emergency patient complaining of severe cough, hemoptysis and dyspnea. On arrival, we suspected that she was suffering from bronchial asthma or pulmonary embolism, but were unable to improve her respiratory condition. The decision was made to terminate gestation immediately and an emergency cesarean section was performed under spinal anesthesia. Postoperatively diagnosis of tuberculosis was made. Fortunately, there was no intramural tuberculous infection. She was a nurse. Nurses are twice as likely as the general public to contract tuberculosis. Medical workers must keep in mind that they may be infected with tuberculosis and they could also become the source of infection of tuberculosis. It is important to rule out tuberculosis when a patient, particularly a medical worker, complains of severe cough, hemoptysis and dyspnea.
一名妊娠37周的29岁女性作为急诊患者被送至我院，主诉严重咳嗽、咯血和呼吸困难。入院时，我们怀疑她患有支气管哮喘或肺栓塞，但未能改善她的呼吸状况。决定立即终止妊娠，并在脊髓麻醉下进行了急诊剖宫产。术后诊断为肺结核。幸运的是，没有子宫壁结核感染。她是一名护士。护士感染肺结核的可能性是普通大众的两倍。医务人员必须牢记，他们可能感染肺结核，也可能成为肺结核的传染源。当患者，尤其是医务人员，主诉严重咳嗽、咯血和呼吸困难时，排除肺结核很重要。
