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白塞病累及肺血管三例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1001-0939.2017.04.016
- Key Word:
- No keyword available
Abstract： 例1 男,52岁,因"反复咳嗽、咳痰伴咯血3年余,再发6 d"于2012年3月27日入住广西医科大学第一附属医院呼吸内科.患者2010年2月大量饮酒后出现咳嗽、咳痰及咯血,咯血呈鲜红色,3~5 ml,伴胸闷、心悸,未重视及就诊,症状反复出现,每日咯血量不等,最大25~50 ml.于当地医院行胸部CT示:双肺多发粟粒性结节并纵隔淋巴结肿大,左肺舌叶、右肺中叶慢性炎症.多次按"肺炎、支气管扩张症"给予对症治疗,咯血仍反复,6 d前受凉后症状再次出现.自患病以来体重下降约7 kg.入院体检:前胸及背部散在毛囊炎样及痤疮样皮疹,口腔、阴茎冠状沟周边皮肤黏膜痛性溃疡,心肺腹查体未见异常.
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