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弥漫性肺内出血、肾衰竭与系统性血管炎。一例病例报告及文献复习。

Diffuse intrapulmonary hemorrhage, renal failure and a systemic vasculitis. A case report and review of the literature.

作者信息

Thomashow B M, Felton C P, Navarro C

出版信息

Am J Med. 1980 Feb;68(2):299-304. doi: 10.1016/0002-9343(80)90371-x.

DOI:10.1016/0002-9343(80)90371-x
PMID:7355899
Abstract

A 63 year old women was hospitalized with massive hemoptysis, anemia and renal failure. Despite intensive supportive care, she died soon after admission. Autopsy revealed diffuse necrotizing alveolitis, rapidly progressive glomerulonephritis and a systemic vasculitis. Massive intrapulmonary hemorrhage with hemoptysis is an unusual complication of a systemic vasculitis. The case is discussed and the literature reviewed.

摘要

一名63岁女性因大量咯血、贫血和肾衰竭入院。尽管给予了强化支持治疗,但她在入院后不久死亡。尸检显示弥漫性坏死性肺泡炎、快速进行性肾小球肾炎和系统性血管炎。伴有咯血的大量肺内出血是系统性血管炎的一种不寻常并发症。对该病例进行了讨论并回顾了相关文献。

相似文献

1
Diffuse intrapulmonary hemorrhage, renal failure and a systemic vasculitis. A case report and review of the literature.弥漫性肺内出血、肾衰竭与系统性血管炎。一例病例报告及文献复习。
Am J Med. 1980 Feb;68(2):299-304. doi: 10.1016/0002-9343(80)90371-x.
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Diffuse pulmonary hemorrhage and rapidly progressive renal failure. An uncommon presentation of Wegener's granulomatosis.弥漫性肺出血和快速进展性肾衰竭。韦格纳肉芽肿的一种不常见表现。
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Hemoptysis and acute renal failure in a young man.一名年轻男性出现咯血和急性肾衰竭。
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Sequential development of pulmonary renal syndrome associated with c-ANCA 3 years after development of anti-GBM glomerulonephritis.抗肾小球基底膜肾小球肾炎发生3年后,肺肾综合征与抗中性粒细胞胞浆抗体(c-ANCA)相关的序贯性发展。
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Diffuse intrapulmonary hemorrhage and glomerulonephritis unrelated to anti-glomerular basement membrane antibody.与抗肾小球基底膜抗体无关的弥漫性肺内出血和肾小球肾炎
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The clinical spectrum of necrotizing glomerulonephritis.
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Goodpasture syndrome involving overlap with Wegener's granulomatosis and anti-glomerular basement membrane disease.肺出血肾炎综合征合并韦格纳肉芽肿病及抗肾小球基底膜病。
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Diagnosis and management of glomerulonephritis and vasculitis presenting as acute renal failure.以急性肾衰竭为表现的肾小球肾炎和血管炎的诊断与管理
Med Clin North Am. 1990 Jul;74(4):893-908. doi: 10.1016/s0025-7125(16)30524-7.

引用本文的文献

1
Small vessel vasculitis of the lung.肺小血管炎
Thorax. 2000 Jun;55(6):502-10. doi: 10.1136/thorax.55.6.502.
2
Alveolar hemorrhage associated with crescentic glomerulonephritis--a case report.肺泡出血合并新月体性肾小球肾炎——病例报告
Korean J Intern Med. 1989 Jan;4(1):90-5. doi: 10.3904/kjim.1989.4.1.90.