临床有多种疾病可因双肺多发实变而发生急性呼吸衰竭，但病情危重病理检查又无法提供明确诊断时会让临床医师感到棘手。本文报道1例高热、咳嗽、呼吸困难、双肺多发实变的危重患者，经皮肺穿刺活检病理检查后诊断仍不明确，笔者所在科室对其临床资料进行了分析讨论，临床考虑为重症隐源性机化性肺炎或急性间质性肺炎，最终抢救成功。%many diseases cause acute respiratory failure as a result of bilateral multiple pulmonary consolidation,and it puts physicians in a difficult situation when the patients is in critical condition and the pathological examination can′t provide a definite diagnosis. This paper reported a case of a critical patient with high fever, cough, dyspnea and bilateral multiple pulmonary consolidation. The pathological examination by percutaneous pulmonary biopsy could not give a definite diagnosis. After the analysis of the clinical data,the possibility of critical cryptogenic organizing pneumonia or acute interstitial pneumonia was considered,and the patient was successfully salvaged.
展开▼
