Women suffer from vasculitis and cause the lungs to collapse in the lungs. Doctors: Pay attention to continuous fever for unknown reasons
Author:Changjiang Daily Time:2022.09.13
The Yangtze River Daily Da Wuhan Client September 13 (Reporter Liu Xuan Correspondent Lu Yanting) The lungs appeared empty, chest water, and infection, which caused severe breathing difficulties and was sent to ICU for rescue twice. Recently, Aunt Zhang, 72, was rare in vasculitis in rare diseases. She was blocked by Xiang Haiyan, director of the Department of Nephrology of the Sixth Hospital of Wuhan City. After more than 20 days of accurate treatment, Aunt Zhang was discharged smoothly on September 8. "The doctor said that as long as you take regular dialysis in the future, you will take the medicine strictly according to the doctor's order. There will be no major problems." After experiencing life and death, Ms. Zhang was fortunate to find the right doctor and retrieved a life.
Aunt Zhang checked the creatinine exceeding normal standards a year ago. The doctor told her that it was caused by chronic renal insufficiency. She has been taking medication. In mid -July this year, she went to Wuhan Sixth Hospital for further examination due to abdominal pain. After receiving the doctor Xiang Haiyan, he found that her creatinine index rose to 300 μmol/L, and was accompanied by proteinuria, urine blood, plus the elderly's self -prosecution of abdominal pain, puffiness, and sinusitis. Auntie needs to eliminate kidney dysfunction caused by vasculitis. It is immediately recommended to test the detection of antibody granulocyte cells. The results show that the antibody is positive and confirms her diagnosis.
Knowing that the mother's illness was more serious, the old man's son thought that returning to his hometown for treatment would be more convenient to take care of, so he took his mother back to his hometown. Unexpectedly, after a period of time, the elderly had severe infection and was sent to the intensive care unit twice. The doctor even directly told the family members to treat hope. During despair, the son found Xiang Haiyan again. On the day of the Sixth Hospital of the Municipal Hospital, Aunt Zhang had dual exhaustion of breathing and heartbeat. After the full rescue of the nephrologist team, the elderly's life signs slowly stabilized.
The inspection found that Aunt Zhang was treated with radical treatment in a local hospital, which caused a serious decline in physical immunity, infected with asctomy, and a 3 cm empty hole and thoracic effusion appeared in the lungs. Xiang Haiyan quickly adjusted the treatment plan for her, suspended immunosuppressive agents, reduced hormone dosage, and used anti -mold drugs on the basis of ordinary anti -infection, and supplemented with regular hemodialysis a day. After 20 days of treatment, the lung infection of the elderly improved significantly, the empty hole healed, and the thoracic effusion gradually absorbed, and they could walk down the ground.
"Aunt Zhang changed his life in time to recover his life, it is unfortunate." Xiang Haiyan introduced that a considerable part of the symptoms of the onset of vasculitis were not typical, especially the elderly group accompanied by multiple organs. Or missed the diagnosis and delay the timing of treatment.
He revealed that vasculitis is a disease that affects multiple systems and organs, and some patients even have severe renal failure. In addition, when vasculitis invades the lungs, mucous membranes, intestines, and joints, patients have cough, sinusitis, abdominal pain, and muscle joint pain.
To Haiyan reminded that the continuous fever, fatigue, and weight loss of unknown causes occur, and the possibility of vasculitis should be taken into account when the lung and kidney system are affected. This disease is progressing rapidly, and severe cases can be life -threatening. If the elderly people suffer from vasculitis, targeted treatment must be performed according to the actual situation of the patient, and at the same time, pay attention to preventing related complications, such as severe infection, and adjust the treatment plan according to the changes in the condition.
[Edit: Yu Lina]
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