【摘 要】
：
目的 To describe a case of human infection with avian influenza A(H7N9)virus who was complicated with severe acuterespiratory distress syndrome(ARDS),pulmonary bullae and refractory pneumothorax.方法 Case
【机 构】
：
Department of Respiratory and Critical Care Medicine,Fuzhou Pulmonary Hospital of Fu Jian
【出 处】
：
2016中华医学会呼吸病学年会暨第十七次全国呼吸病学学术会议
论文部分内容阅读
目的 To describe a case of human infection with avian influenza A(H7N9)virus who was complicated with severe acuterespiratory distress syndrome(ARDS),pulmonary bullae and refractory pneumothorax.方法 Case report结果 A 28-year-old man was admitted to our respiratory intensive care unit(RICU)with a 3-day history of hyperpyrexia,hemosputum and shortness of breath.The acute respiratory distress syndrome progressively developed and the patient wasoxygenated via veno-venous(VV)ECMO due to the failure of invasive mechanical ventilation.Unfortunately,a right refractorypneumothorax occurred.Although the patient was treated with bilateral pleural drainage and select bronchial occlusion(SBO),hestill failed to improve.Then,successful combination of ECMO with VATS of pulmonary bullae resection was performed andpneumothorax was cured.ECMO was removed 7 days after the operation.But 3 days after the removal of ECMO,the patientscondition deteriorated progressively again with a rapid decline in lung compliance.He developed refractory hypoxemia andmulti-organ failure due to progressive lung fibrosis and died at last.
其他文献
目的 The typical pulmonary metastases is usually round variable-sized nodules or/and diffuse thickening of the interstitium,whilecystic and cavitary metastases is rare,which is usually from extrathoraci
目的 探讨分析无创呼吸机使用中的安全隐患与对策.方法 强化安全管理.结果 72h后动脉血气分析指标和不良反应发生情况比较，差异均有统计学意义(P＜0.05).结论 可提高治疗效果，降低不良反应发生率.
目的 通过对RICU无创通气患者鼻面部压力性损伤发生的危险因素进行分析,从而进行针对性预防.方法 选择2014年6月至2016年6月在我院RICU接受无创呼吸机辅助呼吸患者为研究对象,排除上机前鼻面部已存在皮肤损伤及上机时间<24h的患者,共计入选218人.呼吸机为飞利浦伟康V60,鼻面罩型号为ResMed的hospital full face mask和hospital nasal mask,其
Objective This study demonstrated that volume perfusion computer tomography(VPCT)parameters may indicate vascular abnormality in a lung tumor model and reflect the “Vascular Normalization” effect afte
目的 调查乳腺癌化疗患者心理痛苦发生状况并探索其相关因素,为临床治疗及护理工作提供科学依据.方法 通过目的抽样法抽取乳腺癌化疗患者410例,采用一般资料问卷和心理痛苦温度计量表进行问卷调查.结果 乳腺癌化疗患者的心理痛苦评分为4.46±2.06,有显著心理痛苦(即得分≥4 分)的占71.5％；心理痛苦相关因素有：担忧、外表/形体、疲乏、恶心、记忆力/注意力下降、经济问题、无精力照顾照顾孩子老人、无
目的 观察延续护理对COPD稳定期合并精神分裂症患者的疾病的影响方法 选择患者随机分组分别采用延续护理或传统方法结果 两组肺功能无统计学意义，复住院率有统计学意义结论 延续护理不能够改善其的肺功能情况但能降低患者的急发和加重。
Objective CHPH model was established to: observe the effect of STS on SD rats in CHPH model; measure the expression of sGCβ1 in pulmonary arteries from CHPH rats and to make sure whether STS has any r
Aims As a critical event involved in the airway remodeling,epithelial-mesenchymal transition(EMT)of bronchial epithelial cells occurs in a range of respiratory disorders such as asthma and pulmonary f
目的 探究系统化护理应用于慢性阻塞性肺疾病患者对其肺通气功能及心理状况的影响，并为这类患者的优质医疗服务积累实战经验。方法 选90例慢性阻塞性肺疾病患者，利用随机数字表法分组，设为研究组和对照组，各45例。对照组开展常规护理干预，研究组实施系统化护理。结果 两组干预前各项肺通气功能指标差异无统计学意义；干预后，研究组FEV1、FEV1％预测值及FEV1/FVC值均高于对照组，差异有统计学意义。两组
目的 通过开展品管圈活动对慢阻肺患者进行健康干预，以提高慢阻肺患者健康知识评分.方法 选取慢阻肺患者80例，随机分为观察组和对照组.观察组40例，平均年龄60±8.3岁；对照组40例，平均年龄55±10.3岁.两组患者在性别、平均年龄等方面经统计学处理无显著性差异(P>0.05)，具有可比性.结果 观察组患者在健康知识6项得分均高于对照组观察组患者对干预满意率95.0％，优于对照组的80.0％.