论文部分内容阅读
本文报告2例女性服用 L-色氨酸后由肺血管炎引起的急性呼衰。例1入院前7个月因失眠症开始服用 L-色氨酸,500mg/d、6周,因无效而停药。同时服用有其它镇静药。3个月后出现疲劳、不适、左上肢麻木、苍白。入院前1周发现进行性气短。胸片示双肺弥漫性浸润,末梢血嗜酸细胞占10%～19%。多普勒超声显示左上肢近段动脉阻塞。入院第2天因症状加重,必须辅助通气,同时给以甲基强的松龙。2周后肺浸润逐渐消失。例2,1个月前因慢性焦
This article reports the acute respiratory failure caused by pulmonary vasculitis in 2 women who took L-tryptophan. Example 1 L-tryptophan, 500 mg / d, for 6 weeks, was discontinued due to insomnia 7 months prior to admission. At the same time taking other sedatives. 3 months after fatigue, discomfort, left upper limb numbness, pale. 1 week before admission found progressive shortness of breath. Chest radiograph showed diffuse infiltration of lungs, peripheral blood eosinophils accounted for 10% to 19%. Doppler ultrasound showed occlusion of the proximal left upper extremity arteries. Due to worsening symptoms on the second day of hospital admission, ventilation must be assisted while giving methylprednisolone. Pulmonary infiltration disappeared after 2 weeks. Example 2, 1 month ago due to chronic coke