培训课件--咯血的诊断和治疗病房讲课.pptVIP

Case 4 48y/o, male T37.9℃，RR20，P80，BP110/70，SaO290% Seven weeks of cough and bloody sputum CBC：Eos%↑，Plt ↑；ESR ↑ Urine：pro（+） CT scan of the chest: Rounded cavitary lesions and Ground-Glass Opacities in both lungs BAL: acid-fast bacilli Lung-Biopsy Specimen Showing Diffuse Granulomatous Tissue Artery with Several Histiocytic Giant Cells in the Media and Adventitia immunofluorescence test：c-ANCA (+) biopsy Thank you ! * WBC增高，中性粒细胞比例增高；嗜酸性粒细胞增多提示过敏性疾病或寄生虫病。血小板计数、凝血时间、凝血酶原时间异常等均须考虑血液系统疾病 * 胸片：肺纹理稍粗 * 支气管扩张 * 左肺上叶不规则形影，边界毛糙，其内可见空洞形成，并见附壁结节及钙化。右肺上叶可见小片状较淡密度影，右肺中叶可见多个小结节影。 * 年轻女性，2周内2次大咯血，无既