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卡特金纳氏综合征又称为副鼻窦炎—支气管扩张—内脏转位综合征。我科遇一例。女,30岁,以“间断咳嗽、咳痰二十年,加重伴发烧半月”为主诉入院。患者生后体检发现为右位心。家族无类似病史。入院后查体:胸呈桶状,双肺叩诊过清音,呼吸音低,双肺可闻及散在干罗音。心电图示:窦性心律不齐,右位心。肺片,双下肺纹理增粗,其中有小囊状影,两肺门处有小片状阴影,双膈肌光滑。右位心脏。入院诊断:①支气管扩张并肺部感染,②有傍心。
Catkin’s syndrome is also known as sinusitis - bronchiectasis - visceral transposition syndrome. One case of my department. Female, 30 years old, with “intermittent cough, sputum twenty years, aggravating half a month with fever” was admitted to the hospital. Patients after birth physical examination found as right centroid. No similar family history. After admission, physical examination: chest barrel, percussion lungs over the voiceless, low breath sounds, lungs can be heard and scattered dry rales. ECG shows: sinus arrhythmia, right centripetal. Pulmonary films, double lower lungs texture thickening, including small cystic shadow, two hilar a small shadow, diaphragmatic smooth. Right heart. Admission diagnosis: ① bronchiectasis and pulmonary infection, ② have heart.