论文部分内容阅读
镰状细胞病的急性病人,常常发生胸痛、发热、白细胞增多和胸部X线阴影。这些发现究系感染抑或由于梗塞所致,区别常很困难,因此用急性胸综合征命名。作者对13例成人镰状细胞病25例次住院时的急性胸综合征进行了回顾性的研究,其中23例次存在有胸部症状(胸痛23/25、咳嗽9/25),11例次有异常胸部体征(肺部捻发音最常见,1例次有明显肺实变体征,2例次有胸膜摩擦音),9例次有胸部X线异常。在没有体征或X线异常的13例次中,后期均发现有X线改变。放射学异常几乎全在肺底部,包括斑片状授润、实变、线样肺不张和少量胸腔积液。单侧病
Acute patients with sickle cell disease often develop chest pain, fever, leukocytosis, and chest X-rays. These findings are often symptomatic or due to infarction, the distinction is often difficult and therefore named after acute chest syndrome. The retrospective study of 13 cases of adult sickle cell disease in 25 cases of hospitalized acute chest syndrome, of which 23 cases there are chest symptoms (chest pain 23/25, cough 9/25), 11 cases of secondary Abnormal chest signs (the most common pulmonary twist, one case of clear signs of pulmonary consolidation, two cases of pleural friction), nine cases of chest X-ray abnormalities. In 13 cases without signs or X-ray abnormalities in the middle and late were found to have X-ray changes. Abnormal radiology almost all at the bottom of the lung, including patchy grant Run, consolidation, line-like atelectasis and a small amount of pleural effusion. Unilateral disease