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单侧肺叶肺水肿

Unilateral lobar pulmonary edema.

作者信息

Pandya Garvi J, Mukhopadhyay Amartya, Ping Chua Ai, Lim Tow Keang

机构信息

Department of Medicine, National University Hospital, National University Health System, 5 Lower Kent Ridge Road, Main Building, Singapore 119074.

出版信息

J Assoc Physicians India. 2012 Sep;60:60-2.

PMID:23547417
Abstract

INTRODUCTION

Pulmonary edema is usually bilateral, but unilateral lobar pulmonary edema can also be encountered in clinical practice.

CLINICAL PICTURE

We describe a case of unilateral lobar pulmonary edema in a patient without known cardiac history. It was first presentation of underlying cardiac disease in our patient and was difficult to differentiate from pneumonia.

CONCLUSION

Unilateral pulmonary edema can mimic as pneumonia. Clinician should be aware of differential diagnosis of pulmonary edema, otherwise it can lead to unnecessary investigation and delay in starting definitive treatment.

摘要

引言

肺水肿通常是双侧的,但在临床实践中也会遇到单侧肺叶性肺水肿。

临床情况

我们描述了一例无已知心脏病史患者的单侧肺叶性肺水肿病例。这是我们患者潜在心脏病的首次表现,且难以与肺炎相鉴别。

结论

单侧肺水肿可能类似肺炎。临床医生应意识到肺水肿的鉴别诊断,否则可能导致不必要的检查并延误开始确定性治疗。

相似文献

1
Unilateral lobar pulmonary edema.单侧肺叶肺水肿
J Assoc Physicians India. 2012 Sep;60:60-2.
2
[Recurrent unilateral pulmonary edema due to left heart failure].
Harefuah. 1989 Feb 1;116(3):139-43.
3
Asymmetric pulmonary oedema.
Int J Cardiol. 2005 Sep 15;104(1):111. doi: 10.1016/j.ijcard.2004.10.029.
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A difficult diagnosis: right unilateral cardiogenic pulmonary edema. Usefulness of biochemical markers of heart failure for the correct diagnosis.一个疑难诊断:右侧单侧心源性肺水肿。心力衰竭生化标志物对正确诊断的作用。
Ital Heart J. 2005 Sep;6(9):771-4.
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[Use of large doses of furosemide in the treatment of severe pulmonary edema and in refractory cardiac failure].大剂量速尿在重症肺水肿及难治性心力衰竭治疗中的应用
Presse Med (1893). 1971 Oct 16;79(43):1909.
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Unilateral pulmonary edema: a rare presentation of congestive heart failure.单侧肺水肿:充血性心力衰竭的一种罕见表现。
Am J Med Sci. 2004 Jun;327(6):362-4. doi: 10.1097/00000441-200406000-00013.
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Severe acute respiratory syndrome coronavirus-2- or pregnancy-related cardiomyopathy, a differential to be considered in the current pandemic: a case report.严重急性呼吸综合征冠状病毒 2 型或与妊娠相关的心肌病,是当前大流行中需要考虑的鉴别诊断:病例报告。
J Med Case Rep. 2021 Mar 19;15(1):143. doi: 10.1186/s13256-021-02751-3.
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Pulmonary reactions simulating cardiac pulmonary edema caused by nitrofurantoin.由呋喃妥因引起的类似心源性肺水肿的肺部反应。
N Engl J Med. 1965 Nov 25;273(22):1185-7. doi: 10.1056/NEJM196511252732204.
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Congestion in acute heart failure syndromes: importance of early recognition and treatment.急性心力衰竭综合征中的充血:早期识别与治疗的重要性
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Diagnosis and management of cardiogenic pulmonary edema.心源性肺水肿的诊断与管理
Acta Med Indones. 2010 Jul;42(3):176-84.

引用本文的文献

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Unilateral pulmonary edema: a case report and review of the literature.单侧肺水肿:一例病例报告及文献综述
J Med Case Rep. 2018 Aug 14;12(1):219. doi: 10.1186/s13256-018-1739-3.