首页> 中文期刊> 《美国医学会杂志:中文版》 >生物恐怖行为所致吸入性炭疽病的临床表现2例幸存病例报告

生物恐怖行为所致吸入性炭疽病的临床表现2例幸存病例报告

         

摘要

@@ 近几周来,炭疽杆菌作为生物恐怖主义的武器,已从理论变成现实.随着含炭疽芽孢的信件邮寄至一位美国参议员,已在华盛顿特区主要邮电部门的工作人员发生5例吸入性炭疽病.本报告详细描述了其中2例的临床表现、诊断检查经过和初步治疗.此2例的临床病程在某些方面不同于教科书中描述的吸入性炭疽病的典型模式.1例病人入院前3天出现低热、寒战、咳嗽和全身不适,以后呼吸困难呈进行性加重并于入院当日咳血痰.另1例病人诉头痛进行性加重3天,伴恶心、寒战和盗汗,但入院当天并无呼吸系统症状.2例病人X线胸片均显示异常.非对照增强胸部CT显示纵隔淋巴结肿大,使医师对此2例作出吸入性炭疽病的推测性诊断.经血培养和多聚酶链反应检测确定了诊断.抗生素治疗包括,静脉应用环丙沙星、利福平和克林霉素.支持治疗可延缓吸入性炭疽病的进展,使病人生存至今.

著录项

  • 来源
    《美国医学会杂志:中文版》 |2002年第5期|232-236|共5页
  • 作者单位

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Departments of Infectious Disease, Mid-Atlantic Permanente Medical Group, Kaiser Perrnanente, Rockville,Md;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Radiology, Inova Fairfax Hospital, Falls Church, Va;

    the Centers for Disease Control and Prevention, Atlanta, Ga;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Internal Medicine, Mid-Atlantic Permanente Medical Group, Kaiser Perrnanente, Rockville,Md;

    Departments of Infectious Disease, Mid-Atlantic Permanente Medical Group, Kaiser Perrnanente, Rockville,Md;

    Radiology, Inova Fairfax Hospital, Falls Church, Va;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Departments of Infectious Disease, Mid-Atlantic Permanente Medical Group, Kaiser Perrnanente, Rockville,Md;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Author Affiliations: Departments of Emergency Medicine, Inova Fairfax Hospital, Falls Church, Va;

    Radiology, Inova Fairfax Hospital, Falls Church, Va;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 呼吸系及胸部疾病;
  • 关键词

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