论文部分内容阅读
作者报告两例肺炎支原体感染併发的肺脓肿。文献中尚未有过先例。两例病人均有咳嗽、咯绿色脓痰、胸痛。物理检查一例肺部有水泡音,另一例有肺实变征(叩音浊及支气管呼吸音)。一例白细胞12,000,另一例6,000,两例中性粒细胞都在80％以上。胸部X线检查:一例在右肺上叶尖段实变,有一个3×2.5厘米的空洞,有液平;另一例在右肺下叶尖段有一个7×4.5厘米的空洞,下叶其余部分均已实变,空洞外形不规则,洞壁厚0.75厘米,右侧胸腔有积液。两例痰涂片及培养均未找到致病菌,血清中均无通常病原菌的沉淀抗体,呼吸道病毒补体结合试验均阴性。肺炎支原体补体结合滴定两例均升高(一例最高1:320,三周后降
The authors report two cases of pulmonary abscess complicated with Mycoplasma pneumoniae infection. There are no precedents in the literature. Both patients had cough, slightly purulent sputum and chest pain. A case of physical examination of the lungs with blisters sound, and the other cases of lung real change (knocking voiced and bronchial breath sounds). One case of leukocyte 12,000, another case of 6,000, two cases of neutrophils are more than 80%. Chest X-ray examination: one case of the tip of the right upper lung consolidation, there is a 3 × 2.5 cm hole, a level; the other case in the right lobe of the tip segment has a 7 × 4.5 cm hole, the lower lobe rest Some have been solidified, irregular hole shape, hole wall thickness of 0.75 cm, right pleural effusion. Two cases of sputum smear and culture did not find pathogens, serum no common pathogenic bacteria precipitation antibody, respiratory virus complement fixation test were negative. Mycoplasma pneumoniae complement fixation titration increased in both cases (a case of up to 1: 320, after three weeks down