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显微镜下多血管炎(Microscopic polyangiitis,MPA)临床表现复杂,易漏诊、误诊,尤其是早期。笔者所遇1例,现报告如下。1病历摘要女,53岁。发热、气促3周尿少2周入院。患者3周前突发发热、气促、稍咳嗽,体温39.2℃,在地段医院拟急性支气管炎予青霉素等静脉滴注,症状无缓解。发病第6天因呼吸急促
Microscopic polyangiitis (MPA) has complicated clinical manifestations, misdiagnosis and misdiagnosis, especially in the early stage. I encountered a case, the report is as follows. 1 medical record summary female, 53 years old. Fever, shortness of breath 3 weeks less urine 2 weeks admission. Patients 3 weeks ago, sudden fever, shortness of breath, a little cough, body temperature 39.2 ℃, in the district hospital to be acute bronchitis to penicillin intravenous infusion, the symptoms did not ease. The first 6 days of onset due to shortness of breath