摘要
目的总结病毒性肺炎的特点,提高重症病毒性肺炎诊治能力。方法总结北京协和医院急诊科2013年1—3月收治的3例重症病毒性肺炎临床资料,分析诊治经过,同时复习相关文献。结果 3例均以呼吸道症状起病,迅速进展为双肺弥漫病变,合并Ⅰ型呼吸衰竭,需要呼吸机支持。血白细胞正常,病原学检查基本阴性,多种抗感染药治疗效果不佳,需要糖皮质激素和丙种球蛋白治疗。3例均考虑重症病毒性肺炎的诊断,2例经过积极支持治疗康复出院,1例死亡。结论病毒性肺炎临床并不少见,但由于缺乏有效的确诊手段,往往延误诊断。综合治疗对本病有效。
Objective To summarize characteristics of viral pneumonia so as to improve the diagnosis and treatment of severe viral pneumonia. Methods Clinical data of 3 patients with severe viral pneumonia in emergency department of Peking Union Medical College Hospital from January to March 2013 was retrospectively analyzed, and related literature was also reviewed. Results All the 3 patients suffered as onset respiratory symptoms and rapid diffuse lesion in both lungs combined with type I respiratory failure which needed ventilator support. White blood ceils were normal, etiological examinations were negative, a variety of antiin fective agents failed, and glucocorticoid and immunoglobulin therapy was required. The 3 patients were diagnosed as having severe viral pneumonia, 2 patients were cured and were discharged after active treatment, but 1 patient died. Conclusion Although viral pneumonia is common, diagnosis may be delayed due to lack of effective diagnosis approaches, so comprehensive treatment strategy is recommended in treatment.
出处
《临床误诊误治》
2013年第5期12-14,共3页
Clinical Misdiagnosis & Mistherapy
关键词
肺炎
病毒性
误诊
社区获得性感染
Pneumonia, virulence
Misdiagnosis
Community-acquired infection
