Department of Internal Medicine III, Nephrology, University Hospital Jena, Jena, Germany.
Forensic Medicine, Section of Pathology, University Hospital Jena, Jena, Germany.
Chest. 2024 Jun;165(6):e191-e198. doi: 10.1016/j.chest.2024.02.022.
A 57-year-old man was admitted to our hospital via the ED presenting in reduced general condition because of an infection of unknown origin, generalized edema, and dyspnea at rest (peripheral capillary oxygen saturation, 89%) that required 2 L/min intranasal oxygen. Anamnesis was complicated by an infection-triggered delirium, but his wife reported an increasing physical decay that had led to bed confinement. The BP was reduced at 88/55 mm Hg with a normal heart rate of 86 beats/min. Lung auscultation showed mild bipulmonal rales. Previous comorbidities were a BMI of 42 kg/m, an insulin-dependent type 2 diabetes mellitus with a severe diabetes-related chronic kidney disease stage G4A3, and systemic arterial hypertension.
一位 57 岁男性因不明原因感染、全身水肿和静息性呼吸困难（外周毛细血管血氧饱和度 89%）而经急诊部入院，需要 2 L/min 经鼻吸氧，一般情况较差。病史复杂，有感染诱发的意识混乱，但他的妻子报告称，他的身体状况日益恶化，已导致卧床不起。血压为 88/55 mmHg，心率正常为 86 次/分。肺部听诊显示轻度双肺啰音。既往合并症包括 BMI 为 42 kg/m2、依赖胰岛素的 2 型糖尿病，伴有严重的糖尿病相关慢性肾脏病 G4A3 期和系统性动脉高血压。
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