肺曲霉菌病
患者:男,50岁主诉:反复咯血3年余,咳嗽半月
现病史:患者3年余前劳累后出现咯血,色鲜红,量约3口,无咳嗽咳痰,无胸闷胸痛,无寒颤发热,未予重视。后反复出现咯血,多在劳累或活动后,每次3-6口,半月前患者无明显诱因下出现咳嗽,为干咳,无痰,无寒颤发热。后至我院呼吸科门诊就诊
既往史:高血压病史3年余,间断服用“厄贝沙坦、氢氯嚷嗦片”;十年前行腹腔镜下胆囊切除术后,有青霉素过敏史
实验室检查
血常规:单核细胞 0.63↑,血小板压积 0.32↑ ,血小板分布宽度17.20 ↑肿瘤标志物6项:神经元特异性烯醇化酶17.50↑ ng/ml
血气分析:葡萄糖8.5mmoL/L↑ ,乳酸1.6mmoL/L↑
C-反应蛋白、心肌标志物测定组合、输血前八项无异常
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作者:陈露、徐海
来源:江苏省人民医院放射科公众号
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