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一位 58 岁男性,COVID-19 感染后咯血。

A 58-Year-Old Man With Hemoptysis After COVID-19 Infection.

机构信息

Department of Respiratory Medicine, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, India.

Department of Critical Care Medicine, P.D. Hinduja Hospital and Medical Research Centre, Mumbai, India.

出版信息

Chest. 2022 Apr;161(4):e213-e217. doi: 10.1016/j.chest.2021.11.024.

Abstract

A 58-year-old man presented to us with a 1-week history of high-grade fever and progressive dry cough. Four weeks before his presentation, he was diagnosed with COVID-19 infection and needed non-ICU hospital admission with no supplemental oxygen requirements for 6 days and was treated with a 5-day course of remdesivir and 3 weeks of dexamethasone. His steroid dose was commenced on dexamethasone 12 mg bid (four times the recommended dose) for 14 days and then gradually tapered over the remaining 7 days. His history was unremarkable, except for well-controlled asthma. He did not complain of any shortness of breath, weight loss, or loss of appetite. He was never a smoker and denied any alcohol use.

摘要

一位 58 岁男性因高热和进行性干咳 1 周就诊。在他就诊前 4 周,他被诊断为 COVID-19 感染,无需补充氧气,非 ICU 住院 6 天,并接受了 5 天的瑞德西韦和 3 周的地塞米松治疗。他的类固醇剂量从地塞米松 12mg bid(推荐剂量的四倍)开始,共 14 天,然后在剩余的 7 天内逐渐减少。他的病史无特殊,除了控制良好的哮喘。他没有呼吸困难、体重减轻或食欲不振的症状。他从不吸烟,也不饮酒。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8d/8980519/62b27e975d0e/gr1_lrg.jpg

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