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【病例7】免疫功能受抑制患者的机合性肺部感染一个患何杰金氏病的48岁男性患者,在应用长春新硷、硫唑嘌呤及强的松治疗的过程中出现发热及明显呼吸困难。体检:体温38.3℃,脉搏110次/分,呼吸32次/分,血压100/80。两肺均闻湿罗音。实验室检查:红细胞压积38%,血色素13.1克,白细胞800,中性90%,淋巴10%。胸片见弥漫性、对称性浸润灶自肺门向四周放散。动脉血气测定,氧分压52毫米汞柱,二氧化碳分压20毫米汞柱,pH7.51。痰固紫染色见少量上皮细胞及咽部正常菌群。
Case 7 Mashupial Lung Infection in Patients with Suppressed Immune Function A 48-year-old male with Hodgkin’s disease developed fever and conspicuity during treatment with vincristine, azathioprine and prednisone Difficulty breathing. Physical examination: body temperature 38.3 ℃, pulse 110 beats / min, breathing 32 beats / min, blood pressure 100/80. Both lungs smell wet rales. Laboratory tests: hematocrit 38%, hemoglobin 13.1 grams, white blood cells 800, 90% neutral, lymphatic 10%. See diffuse chest X-ray, symmetry infiltration stove from the hilar to the four weeks. Arterial blood gas was measured at oxygen partial pressure of 52 mmHg and carbon dioxide partial pressure of 20 mmHg at pH 7.51. Phlegm purple staining see a small amount of epithelial cells and normal pharynx flora.