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始终无低氧血症的罕见肺血管畸形
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1001–0939.2015.02.027
- Key Word:
- No keyword available
Abstract： 患者男,17岁,因“上呼吸道感染后咳嗽、胸闷15d”于2014年5月20日入院.患者无发热、咳脓痰及盗汗,无胸痛及咯血,无活动耐力下降,无夜间喘憋或咳嗽加重.无药物食物过敏史,无吸烟史,否认肺结核病史,无吸烟史.外院胸部正侧位片报告示左肺下叶球形病灶,周围见多发卫星灶,考虑肺结核可能性大.入院体检:体温36.6℃,血压120/80 mmHg(l mmHg =0.133 kPa),口唇无发绀,浅表淋巴结无肿大;颈静脉无怒张,胸廓对称,双肺呼吸音粗,未闻及干湿性哕音;心率为72次/min,心律齐,各瓣膜听诊区未闻及杂音;肝脾不大,双下肢无水肿,无杵状指.实验室检查:血常规、凝血常规、肿瘤标记物,G试验、GM试验、PPD试验、降钙素原、ESR、C反应蛋白、新隐球菌抗原检测、痰培养、痰检抗酸杆菌等均无异常.
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