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众所周知婴幼儿严重的下呼吸道感染大多由呼吸道合胞病毒(Respiratory Syncytial Virus)所致,但却极少见于成年人。本文报告一例由呼吸道合胞病毒和金葡菌混合感染所致之突发性出血性肺炎的早期孕妇。患者26岁,在怀孕第二周时,发生急性感冒样疾病,其主要症状为病人身感不适、发音困难。虽然以前没有过敏史,但由于支气管痉挛明显,以致被诊断为哮喘。检查时(发病后2天)有明显的发音困难、紫绀,血压为100/60mmHg,有菌血症休克并发突发性支气管肺炎的证据。尽管用氢化可的松、
It is well-known that severe lower respiratory tract infections in infants and young children are mostly caused by Respiratory Syncytial Virus, but rare in adults. This article reports a case of early pregnant women with sudden haemorrhagic pneumonia due to a mixed infection with respiratory syncytial virus and S. aureus. The patient is 26 years old and has an acute cold-like illness at the second week of pregnancy. The main symptom is the patient’s discomfort and dysphonia. Although there was no previous history of allergies, asthma was diagnosed because of bronchospasm. Examination (2 days after onset) have obvious dysphonia, cyanosis, blood pressure 100 / 60mmHg, with bacteremic shock complicated by evidence of sudden bronchopneumonia. Despite the use of hydrocortisone,