急性弥漫性肺出血死亡一例分析及文献回顾
An Analysis of the Death of Acute Diffuse Alveolar Hemorrhage and Review of Literature
DOI: 10.12677/ACM.2018.81006, PDF,   
作者: 张海艳, 杨龑, 宋文仕*:安徽省合肥市庐江县人民医院,安徽 合肥
关键词: 弥漫性肺泡出血病因死亡儿童Diffuse Alveolar Hemorrhage Etiology Death Children
摘要: 目的:分析儿童弥漫性肺泡出血(DAH)的临床特点及其常见病因。方法:回顾性分析1例儿童死亡临床资料、病因分析、诊疗经过、尸检结果分析。结果:DAH患儿在大龄儿童较为少见,但急性期病死率。结论:DAH是危及生命的临床急重症,病因复杂多样,急性期病死率高,应需临床医师高度重视。
Abstract: Objective: To analyze the clinical characteristics and common causes of diffuse alveolar hemorrhage (DAH) in children. Methods: Clinical data, etiology analysis, diagnosis and treatment, and autopsy results of 1 child who died were analyzed retrospectively. Results: DHA is rare in older children, but the mortality rate in acute phase is higher. Conclusion: DAH is a life-threatening acute and severe disease with complex etiology and high mortality in acute stage. Clinicians should attach great importance to it.
文章引用:张海艳, 杨龑, 宋文仕. 急性弥漫性肺出血死亡一例分析及文献回顾[J]. 临床医学进展, 2018, 8(1): 34-37. https://doi.org/10.12677/ACM.2018.81006

参考文献

[1] Lee, A.S. and Speck, S.U. (2004) Pulmonary Capillaritis. Seminars in Respiratory and Critical Care Medicine, 25, 547-555.
[2] 王维, 张慧, 田小银, 等. 138例儿童弥漫性肺泡出血临床特点及病因分析[J]. 临床儿科杂志, 2016, 34(9): 670-672.
[3] 曾春英, 陈碧兰, 张桂香. 早产儿肺出血临床特征及危险因素分析[J]. 中国妇幼保健, 2015, 30(15): 2371-2373.
[4] 黄敏菁. 重症手足口病并肺出血9例诊疗体会[J]. 右江民族医学院学报, 2013, 35(5): 644-645.
[5] von Ranke, F.M., Zanetti, G., Hochhegger, B., et al. (2013) Infectious Diseases Causing Diffuse Alveolar Hemorrhage in Immunecompetent Patients: A State-of-the-Art review. Lung, 191, 9-18.
[Google Scholar] [CrossRef] [PubMed]
[6] 冯莉霞, 朱剑, 张江林. 系统性红斑狼疮合并肺出血临床分析[J]. 解放军医学院学报, 2015, 36(11): 1068-1070.
[7] 黄萍, 傅海东, 毛建华, 等. 儿童血管炎相关性肺肾综合征的临床及预后分析[J]. 浙江预防医学, 2011, 23(12): 61-63.
[8] 蔡栩栩, 尚云晓. 特发性肺含铁血黄素沉着症诊断和治疗进展[J]. 实用儿科临床杂志, 2011, 8(26): 1231-1234.
[9] 王海东, 张世梅, 张妮. 儿童急性肺出血12例急救分析[J]. 临床儿科杂志, 2014, 5(32): 497-498.