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肺出血—肾炎综合症发展迅速,常因呼吸衰竭或肾衰而致命。由于病情多变且病例少,故难以评价疗效。有报告免疫抑制剂、糖皮质激素和双侧肾切除有效,另一些人则认为无效。本文报告一65岁老人,患急性肾小球性肾炎和危重肺出血,在给予大剂量静注甲基强的松龙后获愈。该老人因衰弱和连续咳嗽4天住院,右肺上部有广泛罗音,用氨苄青霉素治疗无效,并咳出鲜血,还有显微血尿,病情危重。血压110/80,呼吸40次/分,血尿素氮38毫克/100毫升,血清肌酐2.5毫克/100毫升,
Pulmonary hemorrhage - nephritic syndrome develops rapidly, often fatal due to respiratory failure or renal failure. Due to the changing conditions and fewer cases, it is difficult to evaluate the efficacy. There are reports of immunosuppressive agents, glucocorticoids and bilateral nephrectomy effective, while others are considered invalid. This article reports a 65-year-old man suffering from acute glomerulonephritis and critically ill pulmonary hemorrhage. He was given a high-dose intravenous methylprednisolone. The elderly were hospitalized for debilitating and coughing for 4 days, with extensive rales in the upper right lung, ineffective treatment with ampicillin, coughing up blood, and micro-hematuria. Blood pressure 110/80, breathing 40 beats / min, blood urea nitrogen 38 mg / 100 ml, serum creatinine 2.5 mg / 100 ml,