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血之束缚：一例表现为弥漫性肺泡出血的神经源性肺水肿病例

Seized by Blood: A Case of Neurogenic Pulmonary Edema Presenting As Diffuse Alveolar Hemorrhage.

作者信息

Romero Kaitlyn N, Reddy Anvit D, Rai Oshin, Karan Abhinav, Rathore Azeem, Jacob Rafik

机构信息

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Internal medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

出版信息

Cureus. 2024 Aug 20;16(8):e67308. doi: 10.7759/cureus.67308. eCollection 2024 Aug.

DOI:10.7759/cureus.67308
PMID:39301393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11412413/
Abstract

Neurogenic pulmonary edema (NPE) is a condition that is characterized by acute onset respiratory distress that uncommonly can cause diffuse alveolar hemorrhage (DAH). Our case is based on a 41-year-old female with a past medical history of seizure disorder who presented for shortness of breath and hemoptysis after a seizure. A computed tomography (CT) scan of the lungs revealed patchy ground glass subpleural airspace opacities bilaterally with increased secondary pulmonary lobule interstitial thickening. With concerns for DAH, a bronchoscopy was performed and revealed sequentially bloody aliquots. Infectious and autoimmune testing was negative. This case highlights a rare form of DAH arising from NPE.

摘要

神经源性肺水肿（NPE）是一种以急性发作的呼吸窘迫为特征的病症，罕见情况下可导致弥漫性肺泡出血（DAH）。我们的病例是一名41岁女性，既往有癫痫病史，在一次癫痫发作后出现呼吸急促和咯血。肺部计算机断层扫描（CT）显示双侧胸膜下斑片状磨玻璃样气腔混浊，伴有次级肺小叶间质增厚增加。鉴于担心DAH，进行了支气管镜检查，结果显示逐次抽取的样本呈血性。感染性和自身免疫性检测均为阴性。本病例突出了由NPE引起的一种罕见的DAH形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/e306644fd429/cureus-0016-00000067308-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/3d0150d52e94/cureus-0016-00000067308-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/607e350aec37/cureus-0016-00000067308-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/e306644fd429/cureus-0016-00000067308-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/3d0150d52e94/cureus-0016-00000067308-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/607e350aec37/cureus-0016-00000067308-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b767/11412413/e306644fd429/cureus-0016-00000067308-i03.jpg

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