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The incidence of gastroesophageal reflux disease is high in Western nations. Its extra-esophageal manifestations such as asthma, paroxysmal laryngospasm, and excessive throat phlegm, chronic cough, laryngal disorders, postnasal drip and other lesser ear, nose and throat symptoms, have been recognized and reported.

胃食管返流病(gastroesophageal reflux disease, GERD)在西方国家发病率较高,而人们对其食管外临床表现(如哮喘、喉痉挛、顽固性咳嗽咳痰,以致鼻窦炎、咽炎等耳鼻喉科症状)也有相当的认识并有众多的临床报导。

Cough, laryngal disorders, postnasal drip and other lesser ear, nose and throat symptoms, have been recognizedand reported[1]. Thus GERD patients with complications of respiratory distress are considered an integral aspect ofthe syndrome in the Western world.

引言:胃食管返流病(gastroesophageal reflux disease, GERD)在西方国家发病率较高,而人们对其食管外临床表现(如哮喘、喉痉挛、顽固性咳嗽咳痰,以致鼻窦炎、咽炎等耳鼻喉科症状)也有相当的认识并有众多的临床报导[1]。

Liver pain, or even death in cirrhotic ascites; Paragonimiasis infected cysts, child or adult worms in human tissues and organs within the transitional, If staying in the lung, patients would cough, chest pain and other discomfort, live in the brain occur in epilepsy, hemiplegia, live mainly in the liver to the liver, liver pain, will live in the subcutaneous form transitional mass or nodule; Fasciolopsiasis worm infection can suffer from abdominal pain, diarrhea, malnutrition, etc.; Angiostrongylus cantonensis larvae in human migration, lesions in the brain, can cause severe headache, nausea, vomiting, fever and neck hard, there will be serious paralysis, lethargy, coma or even death.

感染食源性寄生虫病后可出现不同的症状或体征:华枝睾吸虫病的危害主要是肝受损,轻症者可出现胃肠道不适症状,重者常有肝肿大、肝区疼痛、肝硬变腹水甚至死亡;感染肺吸虫囊蚴后,童虫或成虫在人体组织与器官内移行,若寄居在肺里,患者会出现咳嗽、胸痛等不适感觉,寄居在脑中则出现癫痫、偏瘫等情况,寄居在肝内主要表现为肝大、肝痛,寄居在皮下则形成移行性包块或结节;感染姜片虫后可出现腹痛、腹泻、营养不良等;广州管圆线虫的幼虫在人体移行,病变集中在脑组织,可引起剧烈头痛、恶心、呕吐、发热及颈硬等,严重者会出现瘫痪、嗜睡、昏迷甚至死亡。

Results The rates of awareness about avian influenza and its infection sources were 99.0% and 83.8%,respectively;The rates of awareness about route of transmission of contact transmission,airborne infection,dungwatermouth and insect vector were 78.5%,71.2%,54.5%,70.2%,respectively;There were 45.5% people who thought all people could be infected easily by avian influenza virus;79.1% people thought fever was clinical situation of avian influenza,and that was 52.9% for nose running,cough,pharyngalgia.

结果 被调查对象对人禽流感及其传染源的知晓率分别为99.0%和83.8%;认为人群对禽流感普遍易感的为45.5%;认为禽流感临床表现有发热和流涕、咳嗽、咽痛症状的分别有79.1%和52.9%的。

Clinical manifestation of chronic obstructive pulmonary emphysema are complex,states of an illness are dangerous,the misdiagnosis rate and mortality rate are high.the spontaneous aeropleura can be prevented by antibiotic used early,avoidance exertion cough,operation to patients with disease of pneumatocele early.the spontaneous aeropleura sould carry on closed drainage of the chest cavity at multi-positions and make use of large dose sensitive antibiotic early,so the mortality rate may be reduced.

老年慢性阻塞性肺气肿合并自发性气胸临床表现复杂,病情凶险,误诊率死亡率高,但是早期应用抗生素、避免用力咳嗽、出现肺大泡患者及时手术等可以防止自发性气胸的发生;出现自发性气胸应及早多方位进行胸腔闭式引流,同时应用大剂量敏感抗生素等措施可以降低患者的死亡率。

HRCT scan showed peripheral area of ground-glass attenuation adjacent to subpleural honeycombing in one patient,and diffusely distributed ground-glass opacity in another patient.Two patients had received cortieosteroid treatment.For one patient, the symptoms improved, and ground-glass attenuation adjacent to subpleural honeycombing had almostly resolved.The other patient died of respiratory failure.

其中1例患者的双肺新出现的磨玻璃影,沿胸膜下蜂窝肺外周分布;另1例患者HRCT表现为新出现的磨玻璃影呈弥漫性分布。2例患者均接受激素治疗。1例患者气紧、咳嗽症状明显缓解,胸部HRCT的磨玻璃样影基本吸收;另1例患者死于呼吸衰竭。

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