• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

弥漫性肺泡出血与扩张型心肌病和睡眠呼吸暂停综合征相关。

Diffuse Alveolar Hemorrhage Associated with Dilated Cardiomyopathy and Sleep Apnea Syndrome.

机构信息

Division of Infectious Diseases and Respiratory Medicine, Department of Internal Medicine, National Defense Medical College, Japan.

Department of Radiology, National Defense Medical College, Japan.

出版信息

Intern Med. 2021 Jun 15;60(12):1911-1914. doi: 10.2169/internalmedicine.5219-20. Epub 2021 Feb 1.

DOI:10.2169/internalmedicine.5219-20
PMID:33518557
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8263192/
Abstract

We herein report a case of diffuse alveolar hemorrhage (DAH) associated with dilated cardiomyopathy (DCM) and sleep apnea syndrome (SAS) in a 47-year-old man. The patient exhibited recurring dyspnea and bloody sputum. Chest radiography showed bilateral diffuse infiltrative opacities without pleural effusion. A bronchoscopic analysis of bronchoalveolar lavage fluid revealed hemosiderin-laden macrophages. Based on these findings, he was diagnosed with DAH. Laboratory and pathological findings ruled out the possibility of collagen diseases and vasculitis. Overnight polysomnography revealed concomitant severe obstructive SAS. Treatment with continuous positive-pressure ventilation and pharmacological therapy for DCM prevented recurrence of DAH.

摘要

我们在此报告一例与扩张型心肌病（DCM）和睡眠呼吸暂停综合征（SAS）相关的弥漫性肺泡出血（DAH）病例。该患者表现为反复呼吸困难和咯血。胸部 X 线显示双侧弥漫性渗出性混浊，无胸腔积液。支气管肺泡灌洗液的支气管镜分析显示含铁血黄素吞噬细胞。基于这些发现，他被诊断为 DAH。实验室和病理检查排除了胶原病和血管炎的可能性。整夜多导睡眠图显示同时存在严重的阻塞性 SAS。持续气道正压通气和 DCM 的药物治疗预防了 DAH 的复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/432db6c56589/1349-7235-60-1911-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/f1cc84adbcb9/1349-7235-60-1911-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/de629c5e7abe/1349-7235-60-1911-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/2eee7589185d/1349-7235-60-1911-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/432db6c56589/1349-7235-60-1911-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/f1cc84adbcb9/1349-7235-60-1911-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/de629c5e7abe/1349-7235-60-1911-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/2eee7589185d/1349-7235-60-1911-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81f1/8263192/432db6c56589/1349-7235-60-1911-g004.jpg

相似文献

1
Diffuse Alveolar Hemorrhage Associated with Dilated Cardiomyopathy and Sleep Apnea Syndrome.弥漫性肺泡出血与扩张型心肌病和睡眠呼吸暂停综合征相关。
Intern Med. 2021 Jun 15;60(12):1911-1914. doi: 10.2169/internalmedicine.5219-20. Epub 2021 Feb 1.
2
Diffuse Alveolar Hemorrhage Induced by Irinotecan for a Patient with Metastatic Thymic Carcinoma: A Case Report and Literature Review.伊立替康诱发转移性胸腺癌患者弥漫性肺泡出血：1例报告及文献复习
Intern Med. 2017;56(13):1697-1700. doi: 10.2169/internalmedicine.56.8349. Epub 2017 Jul 1.
3
Negative-pressure pulmonary Hemorrhaging Due to Severe Obstructive Sleep Apnea.严重阻塞性睡眠呼吸暂停导致的负压性肺水肿。
Intern Med. 2021 Jul 15;60(14):2291-2296. doi: 10.2169/internalmedicine.6206-20. Epub 2021 Feb 22.
4
[Severe obstructive sleep apnea-hypopnea syndrome with dilated cardiomyopathy leading to pulmonary hypertension: case report and literature review].[重度阻塞性睡眠呼吸暂停低通气综合征合并扩张型心肌病致肺动脉高压：病例报告及文献复习]
Zhonghua Jie He He Hu Xi Za Zhi. 2017 Jan 12;40(1):46-51. doi: 10.3760/cma.j.issn.1001-0939.2017.01.010.
5
[A clinical analysis of 32 patients with diffuse alveolar hemorrhage in diffuse connective tissue diseases].32例弥漫性结缔组织病合并弥漫性肺泡出血患者的临床分析
Zhonghua Nei Ke Za Zhi. 2008 May;47(5):362-5.
6
Recurrent Episodes of Diffuse Alveolar Hemorrhage in Systemic Sclerosis 30 Days Apart.系统性硬化症中相隔30天的弥漫性肺泡出血复发事件
J Investig Med High Impact Case Rep. 2019 Jan-Dec;7:2324709619846594. doi: 10.1177/2324709619846594.
7
[Alveolar hemorrhage and glomerulonephritis in two patients with anti-neutrophil cytoplasmic antibodies].两名抗中性粒细胞胞浆抗体阳性患者出现肺泡出血和肾小球肾炎
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Mar;35(3):334-40.
8
Diffuse alveolar hemorrhage and acute eosinophilic pneumonia: A rare form of amiodarone pulmonary toxicity diagnosed by bronchoalveolar lavage.弥漫性肺泡出血和急性嗜酸性粒细胞性肺炎：一种通过支气管肺泡灌洗诊断的胺碘酮肺毒性罕见形式。
J Cardiol Cases. 2022 Nov 10;27(3):93-96. doi: 10.1016/j.jccase.2022.10.012. eCollection 2023 Mar.
9
[A case of MPO-ANCA-related vasculitis with chronic alveolar hemorrhage].[1例伴有慢性肺泡出血的髓过氧化物酶-抗中性粒细胞胞浆抗体相关性血管炎]
Nihon Kokyuki Gakkai Zasshi. 2004 Mar;42(3):266-71.
10
Primary antiphospholipid syndrome-associated diffuse alveolar hemorrhage.原发性抗磷脂综合征相关弥漫性肺泡出血。
Arthritis Care Res (Hoboken). 2014 Feb;66(2):301-10. doi: 10.1002/acr.22109.

本文引用的文献

1
Diffuse Alveolar Hemorrhaging with Hypertensive Emergency: A Rare but Important Cause of Hemoptysis.伴有高血压急症的弥漫性肺泡出血：咯血的一种罕见但重要的病因。
Intern Med. 2019 May 15;58(10):1511-1516. doi: 10.2169/internalmedicine.0920-18. Epub 2019 Feb 1.
2
Diffuse alveolar haemorrhage with predominant upper lung lobe involvement associated with congestive heart failure: a case series.以肺上叶为主的弥漫性肺泡出血伴充血性心力衰竭：病例系列
J Thorac Dis. 2017 Oct;9(10):3956-3960. doi: 10.21037/jtd.2017.09.92.
3
Clinical Features of Patients with Diffuse Alveolar Hemorrhage due to Negative-Pressure Pulmonary Edema.
负压性肺水肿致弥漫性肺泡出血患者的临床特征。
Lung. 2017 Aug;195(4):477-487. doi: 10.1007/s00408-017-0011-8. Epub 2017 Apr 28.
4
Diffuse Alveolar Hemorrhage in Autoimmune Diseases.自身免疫性疾病中的弥漫性肺泡出血
Curr Rheumatol Rep. 2017 May;19(5):27. doi: 10.1007/s11926-017-0651-y.
5
Idiopathic pulmonary hemosiderosis in adults: review of cases reported in the latest 15 years.成人特发性肺含铁血黄素沉着症：近15年报道病例回顾
Clin Respir J. 2017 Nov;11(6):677-681. doi: 10.1111/crj.12440. Epub 2016 Mar 14.
6
Idiopathic pulmonary hemosiderosis presenting in an adult: A case report and review of the literature.成人特发性肺含铁血黄素沉着症：一例报告并文献复习
Lung India. 2015 Jul-Aug;32(4):395-7. doi: 10.4103/0970-2113.159594.
7
Diffuse alveolar hemorrhage with predominantly right-sided infiltration resulting from cardiac comorbidities.由心脏合并症导致的以右侧浸润为主的弥漫性肺泡出血。
Intern Med. 2015;54(3):319-24. doi: 10.2169/internalmedicine.54.3057.
8
A young man with hemoptysis: Rare association of idiopathic pulmonary hemosiderosis, celiac disease and dilated cardiomyopathy.一名咯血的年轻男性：特发性肺含铁血黄素沉着症、乳糜泻和扩张型心肌病的罕见关联。
Lung India. 2015 Jan-Feb;32(1):70-2. doi: 10.4103/0970-2113.148457.
9
Celiac disease with pulmonary haemosiderosis and cardiomyopathy.伴有肺含铁血黄素沉着症和心肌病的乳糜泻
BMJ Case Rep. 2012 Nov 20;2012:bcr2012007262. doi: 10.1136/bcr-2012-007262.
10
Diffuse alveolar hemorrhage.弥漫性肺泡出血。
Chest. 2010 May;137(5):1164-71. doi: 10.1378/chest.08-2084.