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NEJM：甲型流感病毒感染相关的纵隔气肿-病例报道

2018-01-04 xing.T MedSci原创

甲型流感病毒感染纵隔气肿
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患者接受无创通气支持治疗，并采用扎那米韦治疗流感以及哌拉西林和他唑巴坦扎治疗细菌感染。纵隔气肿未进行额外的干预就得到的缓解，该病人就诊15天后出院。

患者为一名既往健康的33岁的男性，因昏睡和感觉不适10天而到急诊就诊。

该患者的体温是38.3°C，存在心动过速，通过面罩呼吸每分钟15升的氧气，检测到的氧饱和度为85%。体格检查发现左下肺有明显的支气管呼吸音；触诊未触及皮下气肿。

X线胸片显示肺脏双侧肺门影，纵隔内有自由空气（如图A箭头所示）。CT证实为纵隔气肿（如图B箭头所示），存在增强的肺纹理，双肺下叶存在阴影，左侧肺下叶更为严重。咽拭子结果为甲型H1N1流感呈阳性反应。



患者接受无创通气支持治疗，并采用扎那米韦治疗流感以及哌拉西林和他唑巴坦扎治疗细菌感染。纵隔气肿未进行额外的干预就得到的缓解，该病人就诊15天后出院。

原始出处：

Christopher T. Mansbridge, et al. Pneumomediastinum Associated with Influenza A Infection.N Engl J Med 2018. http://www.nejm.org/doi/full/10.1056/NEJMicm1702849

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    2018-02-03 shenxlcyp

    #甲型流感病毒#

    0

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    2018-01-05 redcrab

    #甲型流感#

    0

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    2018-01-05 1dd8c52fm63(暂无匿称)

    学习学习.继续关注

    0

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    2018-01-04 1e17414fm02(暂无匿称)

    学习

    0

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    2018-01-04 龙胆草

    学习谢谢分享

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    2018-01-04 戒馋，懒，贪

    谢谢分享学习了

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