支气管镜下的“火眼金睛”，破解老人反复发热“谜团”-阜阳在线-阜阳在线论坛阜阳综合门户

网站小七 发表于 2025-11-18 17:21

支气管镜下的“火眼金睛”，破解老人反复发热“谜团”

<style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fy169.net/frontend/web/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/frontend/web/static/publish/css/style.css?v=20240712"> <div class="preview_article ">  <section><section><section style="box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; font-size: 16px; color: #3e3e3e;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://pic.app.fy169.net/20251118/17634574622972401859.gif" /></section></section><section style="text-align: right; margin: 10px 0px -16px; line-height: 0; box-sizing: border-box; transform: translate3d(-12px, 0px, 0px); -webkit-transform: translate3d(-12px, 0px, 0px); -moz-transform: translate3d(-12px, 0px, 0px); -o-transform: translate3d(-12px, 0px, 0px);"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 40px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://pic.app.fy169.net/20251118/17634574636058283318.png" /></section></section><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; background-color: rgba(160, 160, 160, 0.12); overflow: hidden; align-self: flex-start; flex: 0 0 auto; padding: 29px 10px; max-width: 100% !important; box-sizing: border-box; border: 0px none #3e3e3e;"><section style="color: #3e3e3e; text-align: justify; line-height: 2; padding: 0px; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“老人发烧半个多月，身体越来越差，多亏阜阳市肿瘤医院呼吸科的医生们，通过支气管镜检查成功找到了病因！”近日，83岁患者丁奶奶的家属特意送来感谢信，言语间满是对科室精准诊疗的由衷谢意。</p><section style="text-align: center;"><img class="rich_pages wxw-img js_insertlocalimg" src="https://pic.app.fy169.net/backend/20251118171813_9_Foo4arMiPpqgOkpUl2nkX6-sjti3.jpg" width="1080" height="1924" data-qf-thumb="https://pic.app.fy169.net/backend/20251118171813_9_Foo4arMiPpqgOkpUl2nkX6-sjti3.jpg?imageView2/2/w/1080" data-qf-origin="backend/20251118171813_9_Foo4arMiPpqgOkpUl2nkX6-sjti3.jpg" data-qf-thumb-origin="backend/20251118171813_9_Foo4arMiPpqgOkpUl2nkX6-sjti3.jpg?imageView2/2/w/1080" /></section><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; line-height: 2; box-sizing: border-box;"><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;">据悉，老人半月前无明显诱因出现咳嗽、咳痰，伴间断发热，最高体温达38.5℃，同时伴有乏力、食欲减退等不适。老人此前虽经抗感染治疗，但发热症状仍有反复，肺部感染情况改善不明显，病因尚待明确。随着病程延长，老人身体日渐虚弱，家属期盼能尽快明确病因，遂前来我院呼吸与危重症医学科寻求进一步诊治。</p><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;">医生接诊后，详细梳理老人的诊疗经过，结合其高龄、反复发热、抗感染治疗效果不佳的临床特点，建议为老人实施支气管镜检查，精准探寻病灶根源。</p><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;">经过细致地评估与准备，科室诊疗团队顺利为老人完成气管镜检查，结合病原学检查，最终明确诊断为肺结核。这一关键发现，为后续针对性治疗提供了明确方向。</p></section><section style="text-align: center; margin: 10px 0px 16px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; box-shadow: #7a7979 5px 5px 10px 0px; width: 100%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 999px; box-sizing: border-box; max-width: 100% !important;" src="https://pic.app.fy169.net/backend/20251118171837_9_Fhmp9umdnUSNloqmRidu-MBZIhXK.jpg" height="666" data-qf-thumb="https://pic.app.fy169.net/backend/20251118171837_9_Fhmp9umdnUSNloqmRidu-MBZIhXK.jpg?imageView2/2/w/1080" data-qf-origin="backend/20251118171837_9_Fhmp9umdnUSNloqmRidu-MBZIhXK.jpg" data-qf-thumb-origin="backend/20251118171837_9_Fhmp9umdnUSNloqmRidu-MBZIhXK.jpg?imageView2/2/w/1080" /></section></section><section style="text-align: justify; line-height: 2; box-sizing: border-box;"><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">明确病因后，</span><span style="text-indent: 2em; box-sizing: border-box;">科室依据诊疗规范与患者情况，第一时间为老人制定转诊方案，将患者转至专科医院进行针对性抗结核治疗。转诊后，老人接受规范治疗，发热症状迅速得到控制，咳嗽、咳痰等不适逐渐缓解，身体状况稳步好转。</span></p><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;">“之前检查做了很多，药也用了不少，就是查不出问题，这次通过支气管镜明确了病因，我们心里就踏实了，真是太专业了！”家属在感谢信中反复提及对科室诊疗水平的认可。</p><p style="text-indent: 2em; margin: 0px 0px 16px; white-space: normal; padding: 0px; box-sizing: border-box;">此次成功确诊，不仅体现了阜阳市肿瘤医院呼吸与危重症医学科在疑难肺部疾病诊疗中的丰富经验，更彰显了呼吸内镜技术的核心价值:它能在常规检查基础上，为疑难病例提供关键的病原学证据，有助于降低难治性肺部感染患者不良结局发生率。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">作为专注于呼吸系统疾病诊治的特色科室，阜阳市肿瘤医院呼吸与危重症医学科始终秉持“精准诊疗、人文关怀”的服务理念，严格遵循呼吸内镜诊疗技术规范，从术前评估、术中操作到术后标本处理，每一步都精益求精。针对复杂、难治性肺部疾病，科室充分运用支气管镜这一核心技术，结合胸部CT等检查手段，为患者提供个体化诊疗方案。未来，科室将持续深耕支气管镜技术的规范应用与创新，强化专业技能培训，提升疑难病症诊治能力，让这项“镜下寻因”的硬核技术，为更多呼吸系统疾病患者带来康复希望，全力守护阜城百姓的呼吸健康！</p></section><section style="transform-style: flat; box-sizing: border-box; transform: perspective(0px); -webkit-transform: perspective(0px); -moz-transform: perspective(0px); -o-transform: perspective(0px);"><section style="margin: 0px 0% -31px; line-height: 0; box-sizing: border-box; transform: translate3d(21px, 0px, 0px) rotateY(180deg); -webkit-transform: translate3d(21px, 0px, 0px) rotateY(180deg); -moz-transform: translate3d(21px, 0px, 0px) rotateY(180deg); -o-transform: translate3d(21px, 0px, 0px) rotateY(180deg);"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 130px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%; height: 100%; box-sizing: border-box; max-width: 100% !important;" src="https://pic.app.fy169.net/20251118/17634574677425850454.svg" /></section></section></section></section></section><section style="outline: 0px; letter-spacing: 0.544px; background-color: #ffffff; visibility: visible; margin-bottom: 0px;"><section style="outline: 0px;"><p style="margin-bottom: 0px; color: #3e3e3e; letter-spacing: 0.544px; caret-color: rgba(0, 0, 0, 0); background-color: #ffffff; font-size: 17px; outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: #888888; 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玩的开心 发表于 2025-11-19 10:14

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阜阳在线's Archiver

支气管镜下的“火眼金睛”，破解老人反复发热“谜团”