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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?

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    2022-05-28 denglimoxiaoran

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    2020-01-27 天地飞扬

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