TY -的T1 -纵隔气肿和hyponatraemic脱水呈现囊性纤维化的特点JF -欧洲呼吸杂志》乔和J SP - 1760 LP - 1762欧元——六世- 42是10.1183/09031936.00124713 - 6非盟-弗朗西斯·J·吉尔AU -马丁Samuels盟Gillian Klafkowski AU -尼克·a·沃森盟沃伦Lenney Y1 - 2013/12/01 UR - //www.qdcxjkg.com/content/42/6/1760.abstract N2 -编辑:新生儿筛查囊性纤维化促进早期诊断和治疗,从而减少后期诊断[1]。这是有利于患者但有助于医生不知道不同方式未屏蔽的病人。我们报告一位12岁的男性出现纵隔气肿和hyponatraemic脱水,在他后来的调查诊断囊性纤维化。Hyponatraemic脱水是有据可查的展示功能囊性纤维化,但通常发生在炎热天气的时候或剧烈运动后[2];在这种情况下也是如此。虽然在成人纵隔气肿并不少见先进囊性纤维化[3],这是非常罕见的儿童和此前还没有报道结合hyponatraemic脱水。一个12岁的男性参加了急诊科气短、颈部肿胀和胸痛。病人已经不适与鼻炎1周,发热和排痰性咳嗽。他是脱水、tachycardic tachypnoeic和缺氧。血压是正常的。他明显的捻发音的左侧颈部延伸到前胸壁。 Chest wall expansion was equal and his trachea central. On auscultation, there were coarse crackles throughout both lung fields. The only other abnormality was grade III finger clubbing.Blood investigations confirmed dehydration and identified hyponatraemia, hypokalaemia, hypochloraemia and metabolic alkalosis. A chest radiograph (fig. 1a) confirmed subcutaneous emphysema. It also identified pneumomediastinum, hyperinflation, increased bronchovascular markings with bronchial wall thickening, dilation of perihilar airways and scattered nodular densities; there was no pneumothorax. Oxygen was initially given to treat the hypoxia, and then continued … ER -