Journal of Tuberculosis and Lung Disease ›› 2022, Vol. 3 ›› Issue (6): 526-530.doi: 10.19983/j.issn.2096-8493.20220122
Received:2022-07-28
Online:2022-12-20
Published:2022-12-15
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URL: https://www.jtbld.cn/EN/10.19983/j.issn.2096-8493.20220122
| 序号 | 性别 | 年龄 (岁) | 最高体 温(℃) | 症状 | 精神状态 | 吸氧浓度 | 体征 | 基础疾病 | 流行病 学史 | 治疗 转归 |
|---|---|---|---|---|---|---|---|---|---|---|
| 病例1 | 男 | 60 | 39.0 | 咳嗽、咳痰,喘息、气短 | 精神略差 | 高流量(氧浓度50%,流量50 L/min) | 右肺可闻及湿啰音 | 肺气肿、甲状腺手术史 | 无 | 好转 |
| 病例2 | 男 | 42 | 39.8 | 咳嗽、咳痰,烦躁、一过性意识障碍 | 烦躁 | 鼻导管(2 L/min) | 左肺可闻及湿啰音 | 无 | 接触 鸟粪 | 好转 |
| 病例3 | 男 | 69 | 39.8 | 咳嗽、咳痰,痰中带血,恶心、呕吐 | 精神略差,失眠 | 鼻导管(2 L/min) | 左肺可闻及湿啰音 | 2型糖尿病 | 饲养 鸽子 | 好转 |
| 病例4 | 女 | 69 | 40.2 | 恶心、厌油、纳差、乏力、畏寒寒颤 | 急性病容,精神萎靡 | 鼻导管(2 L/min) | 左肺可闻及湿啰音 | 甲型病毒性肝炎 | 无 | 好转 |
| 病例5 | 女 | 56 | 40.0 | 咳嗽、咳痰、胸闷、气促 | 精神萎靡 | 高流量(氧浓度50%,流量50 L/min) | 右肺可闻及湿啰音 | 胆囊结石、脂肪肝 | 无 | 好转,机 化性肺炎 |
| 病例6 | 男 | 62 | 40.2 | 行走不稳、肢体抖动、头晕、乏力 | 精神萎靡,嗜睡 | 高流量(氧浓度50%,流量50 L/min) | 左肺可闻及湿啰音 | 糖耐量异常 | 饲养 鸡、狗 | 好转,机 化性肺炎 |
| 序号 | 白细胞 计数 (×109/L) | 中性粒 细胞计数 (×109/L) | 淋巴细 胞计数 (×109/L) | 白蛋白 (g/L) | 谷氨酸 氨基转 移酶 (U/L) | 天门冬 氨酸氨基 转移酶 (U/L) | 肌酐 (μmol/L) | 血尿 素氮 (mmol/L) | 乳酸 脱氢酶 (U/L) | CD4细 胞计数 (个/μl) | 钾 (mmol/L) | 钠 (mmol/L) | C反应 蛋白 (mg/L) | 降钙 素原 (ng/ml) | IgE (IU/ml) | 氧合 指数 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 病例1 | 9.20 | 91.3 | 0.44 | 33.0 | 32 | 84 | 165.00 | 7.34 | 597 | 252 | 3.20 | 129 | 249.20 | 45.29 | 501.0 | 213 |
| 病例2 | 5.13 | 47.0 | 1.76 | 36.0 | 52 | 72 | 89.12 | 3.16 | 391 | 510 | 4.10 | 143 | 18.95 | 0.10 | 17.1 | 350 |
| 病例3 | 5.34 | 78.8 | 0.81 | 30.6 | 57 | 74 | 62.42 | 4.85 | 295 | 375 | 2.50 | 135 | 127.77 | 0.33 | 376.0 | 298 |
| 病例4 | 6.11 | 79.5 | 0.80 | 38.1 | 88 | 44 | 56.30 | 5.05 | 283 | 117 | 3.76 | 134 | 104.40 | 0.20 | 432.0 | 387 |
| 病例5 | 11.32 | 92.7 | 0.65 | 25.0 | 54 | 29 | 55.40 | 2.21 | 317 | 281 | 3.74 | 134 | 141.00 | 0.42 | 599.0 | 210 |
| 病例6 | 7.87 | 89.0 | 0.58 | 33.6 | 58 | 116 | 99.00 | 7.87 | 674 | 176 | 3.54 | 129 | 185.00 | 1.75 | 463.0 | 156 |
| 序号 | 标本类型 | 鹦鹉热衣原体序列数 | 其他主要病原体及序列数 |
|---|---|---|---|
| 病例1 | 肺泡灌洗液 | 28 | 棒状杆菌(165)、丙酸杆菌(3)、糠枇马拉色菌(23)、近平滑念珠菌(7) |
| 病例2 | 肺泡灌洗液 | 14 | 无 |
| 病例3 | 肺泡灌洗液 | 37 | 无 |
| 病例4 | 肺泡灌洗液 | 383 | 棒状杆菌属(4)、伯克霍尔德菌(3)、嗜淋巴细胞病毒属(1) |
| 病例5 | 肺泡灌洗液 | 1869 | 奈瑟菌属(3)、溶齿放线菌(7) |
| 病例6 | 肺泡灌洗液 | 3524 | 无 |
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