摘要
粟粒性肺结核伴发ARDS在临床工作中并不少见,但由于症状、影像学表现均不典型,误诊率极高,严重威胁着人类健康。综合大量文献,发现粟粒性肺结核伴发ARDS有以下特点:呼吸困难、发热率高,抗结核治疗不积极。有文献报道谷氨酰氨基转移酶、血清白蛋白等对预测ARDS有指导性意义。诊断应结合症状、实验室检查综合诊断,胸部正位片及CT检查有一定的滞后性。治疗提倡早抗结核、早机械通气治疗。
The presentation that miliary tuberculosis complicated ARDS is not rare. Because of untypical symptoms and radiophic presentations, rate of misdiagnosis is very high. According to numbers of literatures, the characters were： have a longer history of illness prior to diagnosis, present with fever, coughand shortness of breath. Some literatures reported predictors, such as AST, ALT. Early and acute diagnosis should base on symptoms, laboratory tests. Early antitubereulosis, early ventilation are the key point.
出处
《医学信息（中旬刊）》
2011年第5期1700-1701,共2页
Medical Information Operations Sciences Fascicule
