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.

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。