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自1970年Proske等综合报告成人肺出血-肾炎综合征(Good-Pasture Syndrome)以来,已引起临床工作者的重视,但儿童病例报道较少。兹将我院所见2例报告如下。 [例1] 女。12岁,住院号52983,1979年6月30日住院。现病史:一年前因咳嗽、痰带血,在当地X线胸透检查,诊断为右下肺炎,二月后病情加剧,半年后两眼睑、面部出现浮肿,面色苍白,尿量减少,但无血尿,咳后常伴呕吐,痰有鲜血,伴气急、胸闷。近二月除上述症状外,并有面色苍黄,乏力,不愿活动,半月来低热(38.1℃左右),胸闷、气急加剧。入院前3日曾有惊厥,神志不清,口吐白沫,反复发作,惊止后神志转清。由外地转来我院。
Since 1970, the comprehensive report of Proske and other adult pulmonary hemorrhage - nephritic syndrome (Good-Pasture Syndrome) has attracted the attention of clinicians, but fewer cases of children reported. I will see 2 cases of hospital reports are as follows. [Example 1] Female. 12 years old, hospital number 52983, June 30, 1979 hospitalization. Current history: a year ago due to cough, sputum bloody, chest X-ray examination in the local X-ray diagnosis of lower right pneumonia, exacerbations after February, six months after two eyelids, facial edema, pale, decreased urine output, but No hematuria, cough often accompanied by vomiting, sputum blood, with acute gas, chest tightness. Nearly two months in addition to the above symptoms, and pale yellow, fatigue, unwilling to activity, half a month low fever (38.1 ℃ or so), chest tightness, aggravated. 3 days before admission convulsions, unconsciousness, foaming at the mouth, recurrent episodes, shock consciousness after clearing. Transfer from the field to our hospital.