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[一名HIV阳性患者粟粒性肺结核期间的急性呼吸窘迫综合征和全血细胞减少症]

[Acute respiratory distress syndrome and pancytopenia during miliary tuberculosis in a HIV positive patient].

作者信息

Mofredj A, Guérin J M, Kidouche R, Masmoudi R, Madec Y

机构信息

Service de réanimation polyvalente, hôpital Laënnec, Creil, France.

出版信息

Ann Fr Anesth Reanim. 1996;15(8):1203-6. doi: 10.1016/s0750-7658(97)85880-7.

Abstract

Acute respiratory distress syndrome (ARDS) is a rare but severe complication of miliary tuberculosis, which may occur even under antituberculous therapy. Even with adequate treatment, its mortality is close to 70%, and if associated with pancytopenia, it may reach 100%. Underlying diseases, delayed diagnosis and additional complications are factors of poor prognosis. We report a case of a patient infected with the human immunodeficiency virus who experienced pancytopenia and ARDS associated with miliary tuberculosis. The patient recovered under antituberculous chemotherapy.

摘要

急性呼吸窘迫综合征(ARDS)是粟粒性肺结核一种罕见但严重的并发症,即使在抗结核治疗过程中也可能发生。即便给予充分治疗,其死亡率仍接近70%,若合并全血细胞减少,死亡率可能达100%。基础疾病、诊断延误及其他并发症是预后不良的因素。我们报告一例感染人类免疫缺陷病毒的患者,该患者出现了与粟粒性肺结核相关的全血细胞减少和ARDS。患者在抗结核化疗下康复。

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