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婴儿神经内分泌细胞增生症一例 被引量:2

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摘要 患儿女,10个月,因“咳嗽2个月,气促1个月”于2009年6月3日收入我院.入院前2个月患儿出现咳嗽,无痰,病初伴低热1d,当地医院考虑“肺炎”,予抗感染治疗后,体温恢复正常,但仍有咳嗽,并逐渐出现气促.入院前1个月患儿因咳嗽、气促在当地县医院就诊,胸X线片考虑“肺炎”,予抗感染治疗,患儿咳嗽好转,气促持续.患儿遂转院至当地儿童医院,肺部CT示双肺磨玻璃影,考虑“间质性肺炎”,静点甲波尼龙2 mg/(kg·d),患儿气促仍无缓解.为进一步诊治至我院门诊,肺部CT提示双肺磨玻璃影,通气不均匀,考虑“闭塞性细支气管炎”,给予孟鲁司特4 mg/d治疗1个月,患儿病情不见好转,复查肺部CT提示双肺磨玻璃影,肺含气不均匀,较前有加重(图1),故收入院进一步诊治.本患儿为足月儿,生长发育正常,既往身体健康,家族中无类似疾病史.
出处 《中华儿科杂志》 CAS CSCD 北大核心 2014年第4期317-318,共2页 Chinese Journal of Pediatrics
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