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临床病理讨论会：54岁男性，面部肿胀1个月

Clinicopathological Conference: 54-year-old with Facial Swelling for One Month.

作者信息

Pile Justin Edwin, Dawson Adam, Maxa Lynn

机构信息

Swedish Hospital, Part of NorthShore University HealthSystem, Department of Emergency Medicine, Chicago, Illinois.

Kingman Regional Medical Center, Department of Emergency Medicine, Kingman, Arizona.

出版信息

Clin Pract Cases Emerg Med. 2020 Nov;4(4):638-641. doi: 10.5811/cpcem.2020.9.48439.

DOI:10.5811/cpcem.2020.9.48439
PMID:33217296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7676805/
Abstract

A 54-year-old female with facial swelling for one month who had repeatedly been treated for allergic reaction during multiple emergency department (ED) visits, presented to the ED for the same complaint of facial swelling. Maintaining a broad differential diagnosis was of critical importance to appropriately evaluating the patient and arriving at the correct conclusion for the etiology of the patient's symptoms. Upon establishing the correct diagnosis, a multidisciplinary approach was used to intervene to provide early treatment without delay.

摘要

一名54岁女性，面部肿胀1个月，曾多次在急诊科就诊治疗过敏反应，此次因同样的面部肿胀主诉再次就诊于急诊科。保持广泛的鉴别诊断对于正确评估患者并得出患者症状病因的正确结论至关重要。在确立正确诊断后，采用多学科方法进行干预，以便及时提供早期治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7676805/2b5b8774a714/cpcem-04-638-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7676805/642a5e701ee4/cpcem-04-638-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7676805/2b5b8774a714/cpcem-04-638-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7676805/642a5e701ee4/cpcem-04-638-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f308/7676805/2b5b8774a714/cpcem-04-638-g002.jpg

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本文引用的文献

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Superior vena cava syndrome in a patient with locally advanced lung cancer with good response to definitive chemoradiation: a case report.局部晚期肺癌患者发生上腔静脉综合征且对根治性放化疗反应良好：一例报告
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Pemberton's sign: explained nearly 70 years later.彭伯顿征：近70年后得到解释。
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Pemberton's maneuver - a clinical test for latent superior vena cava syndrome caused by a substernal mass.彭伯顿手法——一种用于检测由胸骨后肿物引起的潜在性上腔静脉综合征的临床检查。
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