许多微生物感染可并发成人呼吸窘迫综合征(非心源性肺水肿),但尚未见由钩端螺旋体病引起此征。本文报告1例犬钩端螺旋体(Leptospira canicola)所致感染的患者,其肺部所见和血液动力学检测均符合为此征。患者男性,28岁,因头痛、发热、腹泻、干咳已4天而入院。入院前曾参加野营远足,并接触过犬和羊。就诊时呼吸急促、 Many microbial infections can be complicated by adult respiratory distress syndrome (non-cardiogenic pulmonary edema), but not yet caused by leptospirosis. This article reports 1 patient infected with Leptospira canicola, whose lung findings and hemodynamic tests are consistent with this sign. Male patient, 28 years old, admitted to hospital for 4 days due to headache, fever, diarrhea and dry cough. Before camping, he took part in camping and hiking and touched dogs and sheep. Shortness of breath during treatment,