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一名30岁男性,伴有咳嗽、呼吸困难及上叶肺不张。

A 30-Year-Old Man With Cough, Dyspnea, and Upper Lobe Opacities.

作者信息

Baptista Mafalda, Barata Juliana, Craveiro Ana Pedro, Guimarães Susana, Valente Maria Jesus

机构信息

Pulmonology Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal.

Pulmonology Department, Centro Hospitalar Universitário Cova da Beira, Covilhã, Portugal.

出版信息

Chest. 2022 Jun;161(6):e359-e363. doi: 10.1016/j.chest.2021.12.671.

DOI:10.1016/j.chest.2021.12.671
PMID:35680316
Abstract

A 30-year-old man presents with dry cough and dyspnea on exertion (modified Medical Research Council dyspnea scale of 3), with progressive worsening over several months. He denies other respiratory or cardiac symptoms such as wheezing, hemoptysis, thoracalgia, palpitations, or leg swelling. He also denies constitutional symptoms, namely fever, sweating, anorexia, or weight loss. The patient is a current smoker (five cigarettes per day), with no other significant exposures, diseases, or medications. He had no personal history of respiratory diseases or TB. Relevant family history included an aunt with nonspecified interstitial lung disease and lung transplant.

摘要

一名30岁男性出现干咳和劳力性呼吸困难(改良医学研究委员会呼吸困难量表评分为3级),症状在数月内逐渐加重。他否认有其他呼吸道或心脏症状,如喘息、咯血、胸痛、心悸或腿部肿胀。他也否认有全身症状,即发热、出汗、厌食或体重减轻。该患者目前吸烟(每天5支),无其他重大暴露史、疾病史或用药史。他无呼吸系统疾病或结核病个人史。相关家族史包括一位患有未明确的间质性肺病并接受肺移植的阿姨。

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