Fibrinous inflammation in 1 case report and literature review.docVIP

 PAGE \* MERGEFORMAT 6 Fibrinous inflammation in 1 case report and literature review [Keywords:] diagnosis and treatment of inflammation of cellulose 1 Case Report Male patient, 51 years old, no significant incentive to paroxysmal cough, hemoptysis 4 days, at December 17, 2007 admission. Hemoptysis large dark red blood clots, hemoptysis is about 50 ~ 100ml / day. No tuberculosis, asthma and heart disease history. examination: BP 120/80 mmHg, P 78 times / min, R 20 times / min, T 36.8 ℃. conscious, breathing steady. without anemia appearance, coarse breath sounds in the lungs, no rales, HR 78 times / min, law Qi. blood: Hb 146g / L, WBC6.6 × 109 / L, Neu 49%, PLT 125 × 109 / L. tuberculosis antibody negative, PPD test was negative, HIV negative, negative for tumor markers, sputum check acid-fast bacilli negative, sputum culture negative. X-ray: not found exception. Chest CT: right lung see Yun Xu sample, small pieces and ground glass density increased and shadow, edge blur. Newly Diagnosed: lung lobular pneumonia. Fiberoptic bronchoscopy can be seen under microscope on the right upper lobe opening foreign frozen gel completely blocked lumen opening, foreign body forceps to remove the plastic strip of bronchial foreign body a size of about 0.8cm × 3cm, observe the upper lobe bronchus opening paragraphs patency, mucosal congestion and edema, no new creatures, more bloody sputum. bronchoscopy showed extracts pathology: Cellulose see inflammatory exudate of neutrophils, lymphocytes and few eosinophils, consistent with plastic bronchitis. patients after anti-infection, the use of corticosteroids, improved hemostasis discharged. 2 Related Literature Review 2.1 Definitions and nomenclature of the disease is rare, also known as fibrin or fibrin bronchitis (Plastic Bronchitis, Fibrinopuralent Bronchitis or Cast Bronchitis), plastic bronchitis, tube bronchitis, fibrinous bronchitis, mucus, so far not been uniform naming .1951 first reported by Shaw that th