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authormuqiuhan <[email protected]>2025-09-09 06:17:00 +0000
committermuqiuhan <[email protected]>2025-09-09 06:17:00 +0000
commitd5de65fdb1802cdf498d65d93397f290813c377c (patch)
tree92fe61a76d20d1203203665d4b48e7f151f088bd /2023/10/25
parent48efa2dfde7c263f84ee5bb0872747034908d607 (diff)
downloadblog-d5de65fdb1802cdf498d65d93397f290813c377c.tar.gz
deploy: 9665097f0fa0dae9f92123fac54d26c0818758a5
Diffstat (limited to '2023/10/25')
-rw-r--r--2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html5
-rw-r--r--2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html4
-rw-r--r--2023/10/25/肺炎支原体注意事项/index.html36
3 files changed, 30 insertions, 15 deletions
diff --git a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html
index 9ba35a13..2d6bf40c 100644
--- a/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html
+++ b/2023/10/25/Radiographic-Absence-of-the-Left-Humeral-Head/index.html
@@ -196,7 +196,7 @@
<p>Ten years prior to presentation, he underwent surgical decompression for syringomyelia.</p>
<p>A magnetic resonance imaging (MRI) scan of his cervical and thoracic spine performed 2 years prior to presentation revealed a recurrent syrinx extending from Cl C1 to T11, which was not resected because it did not cause symptoms at that time.</p>
<p>On physical examination, he had mild tenderness to palpation and reduced range of motion of the left shoulder with abduction and flexion limited to 120° (normal range of motion, 180°).</p>
-<p>The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder. </p>
+<p>The left scapular muscles were atrophic, and pain and temperature sensation were reduced in his proximal left arm, and dorsal aspect of his left shoulder.</p>
<p>His complete blood cell count, serum glucose levels, C-reactive protein levels, and erythrocyte sedimentation rate were normal.</p>
<p>Results of tests for rheumatoid factor and antinuclear antibody were negative.</p>
<p>Left shoulder radiograph showed complete absence of the left humeral head and a well-demarcated smooth osseous margin of the proximal humerus with associated soft tissue swelling and periarticular calcification.</p>
@@ -204,7 +204,8 @@
<ul>
<li><a href="/papers/Radiographic%20Absence%20of%20the%20Left%20Humeral%20Head.pdf">报告原档</a></li>
</ul>
-<p>这里提到了一种罕见的进展性疾病, 叫Charcot肩, 是一种神经性关节病变,特点是关节迅速被破坏和相关软组织肿胀。患者通常表现为肩部逐渐增大的肿胀,可能伴有疼痛或无痛,肩部无力和活动范围减少。<br>大约80%的Charcot肩患者有脊髓空洞症, 表现为脊髓中的液体充满腔体</p>
+<p>这里提到了一种罕见的进展性疾病, 叫Charcot肩, 是一种神经性关节病变,特点是关节迅速被破坏和相关软组织肿胀。患者通常表现为肩部逐渐增大的肿胀,可能伴有疼痛或无痛,肩部无力和活动范围减少。<br>
+大约80%的Charcot肩患者有脊髓空洞症, 表现为脊髓中的液体充满腔体</p>
</div>
diff --git a/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html b/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html
index df9e760b..1339432d 100644
--- a/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html
+++ b/2023/10/25/儿童新型冠状病毒Omicron株和肺炎支原体混合感染重症肺炎1例/index.html
@@ -192,7 +192,9 @@
</div>
</div>
<div class="post-content">
- <p>患儿 男, 3 岁 10 月龄,因“间歇发热 2 周伴咳嗽、气促”入上海交通大学医学院附属仁济医院(南部院区)定点医院隔离病房。<br>患儿病初发热,确诊为新型冠状病毒肺炎(简称新冠肺炎),热退 2d 再次持续高热&gt;3d 伴气促、吸气性凹陷,胸部 CT 示右肺下叶片状密度影,诊断“重型新冠肺炎”,行支气管镜肺泡灌洗,宏基因组病原检测确诊为混合肺炎支原体感染,治疗好转出院。<br>提示临床医生诊治重型新冠肺炎时需警惕混合感染</p>
+ <p>患儿 男, 3 岁 10 月龄,因“间歇发热 2 周伴咳嗽、气促”入上海交通大学医学院附属仁济医院(南部院区)定点医院隔离病房。<br>
+患儿病初发热,确诊为新型冠状病毒肺炎(简称新冠肺炎),热退 2d 再次持续高热&gt;3d 伴气促、吸气性凹陷,胸部 CT 示右肺下叶片状密度影,诊断“重型新冠肺炎”,行支气管镜肺泡灌洗,宏基因组病原检测确诊为混合肺炎支原体感染,治疗好转出院。<br>
+提示临床医生诊治重型新冠肺炎时需警惕混合感染</p>
<ul>
<li><a href="../papers/%E5%84%BF%E7%AB%A5%E6%96%B0%E5%9E%8B%E5%86%A0%E7%8A%B6%E7%97%85%E6%AF%92Omicron%E6%A0%AA%E5%92%8C%E8%82%BA%E7%82%8E%E6%94%AF%E5%8E%9F%E4%BD%93%E6%B7%B7%E5%90%88%E6%84%9F%E6%9F%93%E9%87%8D%E7%97%87%E8%82%BA%E7%82%8E1%E4%BE%8B.pdf">报告原档</a></li>
</ul>
diff --git a/2023/10/25/肺炎支原体注意事项/index.html b/2023/10/25/肺炎支原体注意事项/index.html
index b4f73b28..adb5fdb4 100644
--- a/2023/10/25/肺炎支原体注意事项/index.html
+++ b/2023/10/25/肺炎支原体注意事项/index.html
@@ -199,60 +199,70 @@
</div>
<div class="post-content">
<ol>
-<li>什么是肺炎支原体<ul>
+<li>什么是肺炎支原体
+<ul>
<li>大小介于细菌和病毒之间的病原微生物, 缺乏细胞壁, 对作用于细胞壁的抗菌药物 (例如青霉素和头孢) 有耐药性</li>
<li>感染不分季节的, 不过一般是北方地区秋冬季流行, 南方地区夏秋季流行</li>
<li>一般多见于五岁以上的儿童, 但五岁以下也可能感染并发病</li>
</ul>
</li>
-<li>肺炎支原体如何传播<ul>
+<li>肺炎支原体如何传播
+<ul>
<li>主要通过飞沫和直接接触传播</li>
<li>潜伏期为一到三周</li>
<li>从潜伏期到症状缓解均有传染性</li>
</ul>
</li>
-<li>肺炎支原体感染有何症状表现<ul>
+<li>肺炎支原体感染有何症状表现
+<ul>
<li>主要临床表现为发热, 咳嗽, 头痛, 流涕, 咽痛, 耳痛等</li>
<li>轻者可能无症状或是上呼吸道感染</li>
<li>重者可能导致肺炎, 肺实变, 胸腔积液, 坏死性肺炎</li>
</ul>
</li>
-<li>成年人是否也会感染肺炎支原体<ul>
+<li>成年人是否也会感染肺炎支原体
+<ul>
<li>长时间和肺炎支原体感染的患者相处很有可能会被感染</li>
<li>如果出现发热, 剧烈咳嗽, 甚至有肺部表现, 要及时去医院</li>
</ul>
</li>
-<li>如何分辨肺炎支原体感染和普通感冒<ul>
+<li>如何分辨肺炎支原体感染和普通感冒
+<ul>
<li>初期感染上呼吸道时, 存在和普通感染类似的症状, 例如鼻塞咽痛发热等</li>
<li>可以通过血清抗体检测, 核酸检测等检出</li>
<li>医生可以通过根据患者的病史, 症状和体征结合相关的常规化检查来综合判断</li>
<li>常人可以通过判断咳嗽情况判断: 一般会出现阵发性, 成串的咳嗽, 早期是干咳, 咳嗽比较剧烈. 或有发热持续不退, 咳嗽加重等情况</li>
</ul>
</li>
-<li>治疗肺炎支原体的常用药物<ul>
+<li>治疗肺炎支原体的常用药物
+<ul>
<li>最佳的治疗窗口期为发热后五到十天之内</li>
<li>一线治疗药物以大环内酯类抗生素为主, 比如阿奇霉素, 红霉素, 克拉霉素</li>
<li>对于耐大环内酯类抗菌药物的患者要考虑其他药物</li>
<li>如果感染比较严重, 重症支原体感染, 则需要综合治疗, 比如糖皮质激素以及支气管镜介入治疗</li>
</ul>
</li>
-<li>如何判断是否需要住院治疗<ul>
+<li>如何判断是否需要住院治疗
+<ul>
<li>轻症经过大环内酯类药物一般均能控制病情, 但体温正常之后咳嗽可能还会持续两周左右, 胸片肺炎阴影基本均可吸收</li>
<li>重症需要住院, 重症可能会有混合病毒或者细菌感染, 要加用相应的药物治疗</li>
</ul>
</li>
-<li>耐药和不耐药患者的治疗差异<ul>
+<li>耐药和不耐药患者的治疗差异
+<ul>
<li>并无太大差异, 主要是耐药患者退烧时间会更长, 换言之病程较长</li>
</ul>
</li>
-<li>支原体肺炎是否会引发白肺<ul>
+<li>支原体肺炎是否会引发白肺
+<ul>
<li>可能会, 但是跟双肺弥漫性病变的白肺是两个概念</li>
<li>通过拍背排痰, 药物祛痰, 支气管镜治疗等手段, 患者可以在较短的时间内痊愈, 基本不会引发生命危险</li>
<li>重症及难治性肺炎支原体感染患者可能会遗留肺结构或功能损害</li>
</ul>
</li>
</ol>
-<h2 id="支原体肺炎-流感-新冠肺炎的区别"><a href="#支原体肺炎-流感-新冠肺炎的区别" class="headerlink" title="支原体肺炎, 流感, 新冠肺炎的区别"></a>支原体肺炎, 流感, 新冠肺炎的区别</h2><table>
+<h2 id="支原体肺炎-流感-新冠肺炎的区别"><a class="header-anchor" href="#支原体肺炎-流感-新冠肺炎的区别">¶</a>支原体肺炎, 流感, 新冠肺炎的区别</h2>
+<table>
<thead>
<tr>
<th>区别</th>
@@ -261,7 +271,8 @@
<th>新冠肺炎</th>
</tr>
</thead>
-<tbody><tr>
+<tbody>
+<tr>
<td>致病菌</td>
<td>肺炎支原体</td>
<td>流感病毒</td>
@@ -309,7 +320,8 @@
<td>有一定自限性, 一般一周内好转</td>
<td>一般7~14天可好转</td>
</tr>
-</tbody></table>
+</tbody>
+</table>
</div>