Baidu
map

病例:长沙男子双肺大量病灶,高烧40℃,咳嗽不止,是新型冠状病毒感染肺炎吗?

2020-01-27 不详 网络

57岁的刘先生平时休闲时爱好养鸽子等鸟类,每天都会给鸽子投食,进行放飞,自娱自乐。半个月前,他受凉后出现咳嗽等不适,自己买了一些止咳药服用,但咳嗽没有缓解,还出现了持续发热,于是到家附近的医院就诊。当地医院完善了细菌、真菌、病毒、支原体、衣原体等相关检查,均未发现异常,肺部CT可见双肺大量病灶,予以常规抗感染、祛痰等治疗,病情仍无好转,随后转入南华大学附属长沙中心医院重症医学科。“入院时,我们发现

57岁的刘先生平时休闲时爱好养鸽子等鸟类,每天都会给鸽子投食,进行放飞,自娱自乐。半个月前,他受凉后出现咳嗽等不适,自己买了一些止咳药服用,但咳嗽没有缓解,还出现了持续发热,于是到家附近的医院就诊。当地医院完善了细菌、真菌、病毒、支原体、衣原体等相关检查,均未发现异常,肺部CT可见双肺大量病灶,予以常规抗感染、祛痰等治疗,病情仍无好转,随后转入南华大学附属长沙中心医院重症医学科。

“入院时,我们发现患者持续高热,伴咳嗽、乏力,而且感染很严重,肺部大片渗出病变,结合之前的检查结果,考虑病毒等非典型病原体感染的可能性大,但是,排查了流感病毒、副流感病毒、呼吸道合胞病毒、腺病毒、军团菌、衣原体和支原体,一直没查到明确的病原体。”询问病史发现患者既往有肺结核病史,但已进行过正规抗痨治疗。肺部CT特征并不象结核征象。

虽然,最近处于新型冠状病毒肺炎流行季节,患者症状也类似新型冠状病毒感染肺炎,但是,患者并没有去过武汉,也未有与武汉相关人员接触史。

你们判断,这可能是什么疾病?需要做哪些检查?下期揭晓答案。

答案:病例答案:长沙男子双肺大量病灶,高烧40℃,咳嗽不止,是新型冠状病毒感染肺炎吗?

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1223059, encodeId=691412230597f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4f22999147, createdName=denglimoxiaoran, createdTime=Sat May 28 23:37:21 CST 2022, time=2022-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1840165, encodeId=d2041840165b4, content=<a href='/topic/show?id=5e4158186f7' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58186, encryptionId=5e4158186f7, topicName=新型冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=shuangle, createdTime=Mon Aug 31 00:06:00 CST 2020, time=2020-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636140, encodeId=258f163614094, content=<a href='/topic/show?id=26eb3092232' target=_blank style='color:#2F92EE;'>#冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30922, encryptionId=26eb3092232, topicName=冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53a422597656, createdName=zjshifan_98647313, createdTime=Tue Mar 03 01:06:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969552, encodeId=77a3196955214, content=<a href='/topic/show?id=1aef581887a' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染肺炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58188, encryptionId=1aef581887a, topicName=新型冠状病毒感染肺炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Mon Dec 07 23:06:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378564, encodeId=04203e856454, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 27 19:44:30 CST 2020, time=2020-01-27, status=1, ipAttribution=)]
    2022-05-28 denglimoxiaoran

    学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1223059, encodeId=691412230597f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4f22999147, createdName=denglimoxiaoran, createdTime=Sat May 28 23:37:21 CST 2022, time=2022-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1840165, encodeId=d2041840165b4, content=<a href='/topic/show?id=5e4158186f7' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58186, encryptionId=5e4158186f7, topicName=新型冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=shuangle, createdTime=Mon Aug 31 00:06:00 CST 2020, time=2020-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636140, encodeId=258f163614094, content=<a href='/topic/show?id=26eb3092232' target=_blank style='color:#2F92EE;'>#冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30922, encryptionId=26eb3092232, topicName=冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53a422597656, createdName=zjshifan_98647313, createdTime=Tue Mar 03 01:06:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969552, encodeId=77a3196955214, content=<a href='/topic/show?id=1aef581887a' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染肺炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58188, encryptionId=1aef581887a, topicName=新型冠状病毒感染肺炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Mon Dec 07 23:06:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378564, encodeId=04203e856454, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 27 19:44:30 CST 2020, time=2020-01-27, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1223059, encodeId=691412230597f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4f22999147, createdName=denglimoxiaoran, createdTime=Sat May 28 23:37:21 CST 2022, time=2022-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1840165, encodeId=d2041840165b4, content=<a href='/topic/show?id=5e4158186f7' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58186, encryptionId=5e4158186f7, topicName=新型冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=shuangle, createdTime=Mon Aug 31 00:06:00 CST 2020, time=2020-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636140, encodeId=258f163614094, content=<a href='/topic/show?id=26eb3092232' target=_blank style='color:#2F92EE;'>#冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30922, encryptionId=26eb3092232, topicName=冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53a422597656, createdName=zjshifan_98647313, createdTime=Tue Mar 03 01:06:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969552, encodeId=77a3196955214, content=<a href='/topic/show?id=1aef581887a' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染肺炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58188, encryptionId=1aef581887a, topicName=新型冠状病毒感染肺炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Mon Dec 07 23:06:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378564, encodeId=04203e856454, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 27 19:44:30 CST 2020, time=2020-01-27, status=1, ipAttribution=)]
  4. [GetPortalCommentsPageByObjectIdResponse(id=1223059, encodeId=691412230597f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4f22999147, createdName=denglimoxiaoran, createdTime=Sat May 28 23:37:21 CST 2022, time=2022-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1840165, encodeId=d2041840165b4, content=<a href='/topic/show?id=5e4158186f7' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58186, encryptionId=5e4158186f7, topicName=新型冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=shuangle, createdTime=Mon Aug 31 00:06:00 CST 2020, time=2020-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636140, encodeId=258f163614094, content=<a href='/topic/show?id=26eb3092232' target=_blank style='color:#2F92EE;'>#冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30922, encryptionId=26eb3092232, topicName=冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53a422597656, createdName=zjshifan_98647313, createdTime=Tue Mar 03 01:06:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969552, encodeId=77a3196955214, content=<a href='/topic/show?id=1aef581887a' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染肺炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58188, encryptionId=1aef581887a, topicName=新型冠状病毒感染肺炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Mon Dec 07 23:06:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378564, encodeId=04203e856454, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 27 19:44:30 CST 2020, time=2020-01-27, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1223059, encodeId=691412230597f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4f22999147, createdName=denglimoxiaoran, createdTime=Sat May 28 23:37:21 CST 2022, time=2022-05-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1840165, encodeId=d2041840165b4, content=<a href='/topic/show?id=5e4158186f7' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58186, encryptionId=5e4158186f7, topicName=新型冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=shuangle, createdTime=Mon Aug 31 00:06:00 CST 2020, time=2020-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1636140, encodeId=258f163614094, content=<a href='/topic/show?id=26eb3092232' target=_blank style='color:#2F92EE;'>#冠状病毒感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30922, encryptionId=26eb3092232, topicName=冠状病毒感染)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=53a422597656, createdName=zjshifan_98647313, createdTime=Tue Mar 03 01:06:00 CST 2020, time=2020-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1969552, encodeId=77a3196955214, content=<a href='/topic/show?id=1aef581887a' target=_blank style='color:#2F92EE;'>#新型冠状病毒感染肺炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=58188, encryptionId=1aef581887a, topicName=新型冠状病毒感染肺炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf1b289, createdName=villahu, createdTime=Mon Dec 07 23:06:00 CST 2020, time=2020-12-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=378564, encodeId=04203e856454, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Mon Jan 27 19:44:30 CST 2020, time=2020-01-27, status=1, ipAttribution=)]
    2020-01-27 天地飞扬

    学习

    0

相关资讯

白细胞不分类,原来是这个病毒惹的祸

2019年1月31日已是腊月二十六,流感终于接近尾声门诊末梢血的标本量也终于降了下来,然而也在今天闫童(化名)小朋友因高烧来医院就诊。

高烧后出现双下肢麻木,激素治疗病情反加重 如何寻找诊断线索?

46岁男性,受凉后高烧 39℃。热退后出现双下肢麻木伴力弱。给予地塞米松治疗后反而双下肢基本完全瘫痪,小便失禁。激素治疗病情反而加重,究竟患有何病?如何进一步寻找诊断线索?

女子高烧40℃,疑似患上淋巴癌!罪魁祸首竟是家中宠物...

都想养个神宠来陪伴自己 下班回家,吸猫撸狗 甚至睡觉都睡一起 小精灵都成了一种精神的寄托 但人兽有别呀!

频繁高烧不退,可能是心内膜炎!

这些年,心内膜炎的发病率越来越高,也越来越年轻化。如果出现了高烧不退、反复时间长,千万不能轻视,尽快到医院检查排除细菌感染心脏的问题。

Baidu
map
Baidu
map
Baidu
map