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Limbus under topical anesthesia phacoemulsification incision clinical observation 67


Blood, coughing and iron deficiency anemia, advanced disease and pulmonary fibrosis due to restrictive ventilatory defect and diffusion barriers to the emergence of oxygen, manifested as shortness of breath, cyanosis or pulmonary hypertension and right heart failure. Hemoptysis, anemia, and diffuse lung changes often provide clues for diagnosis. Example 1 were never hemoptysis, shortness of breath and cyanosis as the first performance,[link widoczny dla zalogowanych], RBC and Hb were significantly increased, clinical easily misdiagnosed. The increase in hemoglobin may be associated with long-term hypoxia to the secretion of erythropoietin increased. Example 2 performance was more typical patients. IPH variety of x-ray findings, acute hemorrhage of alveolar hemorrhage due to weak density and higher performance for the chip shadow, and the ugly in the short run IPracticalMedicineOctober, 2O03, vd. 8, No. 5 to absorption, so patients 2 patients had a diagnosis of a local hospital extrinsic allergic alveolitis. Early performance of a double lung markings can be increased only with or without ground-glass-like changes, mainly for chronic diffuse patchy lung, small nodular,[link widoczny dla zalogowanych], reticular fuzzy shadow, the following lung fields and hilar around the obvious, there may be late honeycomb-like changes in the lung. Adult patients with chronic phase change often based. LynchL3】 reported that conventional x-ray was normal in patients with high-resolution CT examination showed bronchial wall,[link widoczny dla zalogowanych], interlobular septal thickening and other interstitial pulmonary fibrosis. IPH lung function vary for different duration. Lung function may be normal early in the disease, but with the development of the disease can often have varying degrees of restrictive ventilatory defect and diffusion barriers, Milman, etc. 【4】 reported CO diffusing capacity (DL gamma) was reduced in alveolar hemorrhage, the sensitivity ratio x-ray better. IPH diagnosis depends in sputum, lavage fluid, gastric or lung biopsy are found in hemosiderin phagocytosis of macrophages and to other than other secondary factors, such as: mitral stenosis, pulmonary hemorrhage in a kidney inflammation syndrome, Wei Geshi granuloma, systemic lupus erythematosus (SLE) and so on. IPH currently a lack of specific treatment methods, hemoptysis by conventional treatment,[link widoczny dla zalogowanych], early use of adrenocorticotropic hormone can improve symptoms, long-term effects are not sure,[link widoczny dla zalogowanych], but also try immunosuppressants. No after-effects of natural remission about 25%, about 1 / 3 to 1 / 2 cases of death within 3 years.