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在特发性囊性支气管扩张症中。

in idiopathic cystic bronchiectasis.

作者信息

Bates Anthony Simon, Natarajan Manjula, Reddy Raja Vongala

机构信息

Surgical Sciences MSc Student, University of Oxford.

Departmemt of Microbiology, Kettering Hospital, Kettering, UK.

出版信息

BMJ Case Rep. 2018 Nov 28;11(1):e211610. doi: 10.1136/bcr-2015-211610.

Abstract

This is the first case in the English language describing in a patient with idiopathic bronchiectasis. A 66-year-old man with bronchiectasis presented with shortness of breath to the emergency department of our institution, a district hospital in the UK. His medications included long-term supplemental oxygen therapy and prophylactic azithromycin. Following 2 days admission to the respiratory unit, his saturations significantly deteriorated, and the patient was admitted to intensive care with type II respiratory failure. Following a week of intubation and ventilation, multidrug resistant was isolated from the tracheal aspiration secretions. The patient recovered after receiving targeted intravenous antimicrobial therapy.

摘要

这是英文文献中首例描述特发性支气管扩张症患者的病例。一名66岁的支气管扩张症男性因呼吸急促到英国一家区级医院(即我们所在的机构)急诊科就诊。他的用药包括长期补充氧气治疗和预防性使用阿奇霉素。在呼吸科病房住院2天后,他的血氧饱和度显著恶化,该患者因II型呼吸衰竭被收入重症监护病房。经过一周的插管和通气治疗后,从气管吸出分泌物中分离出多重耐药菌。患者在接受针对性静脉抗菌治疗后康复。

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