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[重症尿毒症肺:一例报告及文献复习]

[Severe uremic lung: a case report and review].

作者信息

Yan Yu, Zhao Hui Ping, Wang Mei

机构信息

Department of Nephrology, Peking University People's Hospital, Beijing 100044, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2009 Oct 18;41(5):596-8.

Abstract

We investigated the clinical and photographic characteristics of uremic lung and review the associated literature, so as to improve the diagnostic and therapeutic abilities of uremic lung. The clinical symptoms and signs together with the photographic characteristics of the patient who was diagnosed as uremic lung complicated with pulmonary infection and congestive heart failure in our division were analysed and the associated literature was reviewed. The patient was admitted for the complaint of cough, expectoration and dyspnea. He was diagnosed as chronic renal failure with pulmonary infection and congestive heart failure. The symptoms alleviated after adequate hemodialysis and antibiotic therapy. However, mild dyspnea remained with photographic examination still showing consolidation in the lungs. The diagnosis of uremic lung was established after the exclusion of pulmonary infections of other pathogens and tumor. After 8-month maintenance hemodialysis, the pulmonary lesions were thoroughly absorbed. Uremic lung is a common complication of end-stage renal failure. The diagnosis is established after the exclusion of cardiac pulmonary edema, pulmonary infections and tumors. Sufficient hemodialysis is the most adequate treatment for uremic lung.

摘要

我们研究了尿毒症肺的临床和影像学特征,并回顾相关文献,以提高对尿毒症肺的诊断和治疗能力。分析了我科一名被诊断为尿毒症肺合并肺部感染和充血性心力衰竭患者的临床症状、体征及影像学特征,并回顾相关文献。该患者因咳嗽、咳痰及呼吸困难入院。诊断为慢性肾衰竭合并肺部感染和充血性心力衰竭。经过充分的血液透析和抗生素治疗后,症状缓解。然而,仍有轻度呼吸困难,影像学检查仍显示肺部实变。排除其他病原体感染和肿瘤后,确诊为尿毒症肺。维持性血液透析8个月后,肺部病变完全吸收。尿毒症肺是终末期肾衰竭的常见并发症。排除心源性肺水肿、肺部感染和肿瘤后可确诊。充分的血液透析是治疗尿毒症肺最适当的方法。

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