论文部分内容阅读
一位74岁的男性患者,来自东北地区。该患者入院前咳嗽、咯痰6年,加重伴活动后气短2年,半年来生活不能自理,轻微活动即心慌气短。患者每日咯痰100毫升以上,长期受疾病折磨,自以为患了“绝症”,已失去继续生存下去的信心。此次入院前,曾被怀疑过慢性支气管炎、支气管扩张、粟粒性肺结核、肺纤维化以及支气管肺泡癌等多种疾病。患者痰培养反复有铜绿假单胞菌生长,用多种抗生素治疗效果不佳,处于慢性呼吸衰竭状态,动脉血氧分压只有45.9mmHg。
A 74-year-old male patient from the Northeast. The patient cough before admission, expectoration for 6 years, aggravated with shortness of breath after 2 years, half a year can not take care of themselves, a slight activity that palpitation shortness of breath. Patients expectoration of more than 100 ml per day, long-term suffering from disease, thought they had a “terminal illness”, has lost the confidence to continue to survive. Before the admission, he was suspected of chronic bronchitis, bronchiectasis, miliary tuberculosis, pulmonary fibrosis and bronchial alveolar cancer and other diseases. Patients with sputum culture repeated P. aeruginosa growth, with a variety of antibiotic treatment ineffective, in chronic respiratory failure, arterial partial pressure of oxygen only 45.9mmHg.