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显微镜下多血管炎合并肺炎时弥漫性肺泡出血的独特病例

A Distinctive Encounter With Diffuse Alveolar Hemorrhage in Granulomatosis With Polyangiitis and Pneumonia.

作者信息

Shrestha Shrijan, Rai Pragya, Kayastha Gyan

机构信息

Department of Medicine Patan Academy of Health Sciences, School of Medicine Lalitpur Nepal.

出版信息

Clin Case Rep. 2024 Dec 26;13(1):e70026. doi: 10.1002/ccr3.70026. eCollection 2025 Jan.

DOI:10.1002/ccr3.70026
PMID:39735797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671233/
Abstract

This article highlights the critical importance of identifying the classic triad of hemoptysis, anemia, and diffuse pulmonary infiltrates, offering clinicians a structured approach for the timely diagnosis and management of the diffuse alveolar hemorrhage in setting of GPA. Post-intubation HRCT findings revealed diffuse patchy ground glass opacities in both lungs, along with right lobar consolidation showing liquefaction and an air-fluid level.

摘要

本文强调了识别咯血、贫血和弥漫性肺浸润这一经典三联征的至关重要性，为临床医生提供了一种结构化方法，以便在肉芽肿性多血管炎（GPA）背景下及时诊断和管理弥漫性肺泡出血。插管后的高分辨率CT（HRCT）结果显示双肺弥漫性斑片状磨玻璃影，同时右肺叶实变伴有液化和液气平面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/86bb6aa62d42/CCR3-13-e70026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/d589b39bdc43/CCR3-13-e70026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/358b929ab233/CCR3-13-e70026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/86bb6aa62d42/CCR3-13-e70026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/d589b39bdc43/CCR3-13-e70026-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/358b929ab233/CCR3-13-e70026-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a743/11671233/86bb6aa62d42/CCR3-13-e70026-g001.jpg

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