<原著>急性瀰漫性肺線維症をうたがわれた転移性肺癌の 1 例

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この論文は国立情報学研究所の学術雑誌公開支援事業により電子化されました。Diffuse interstitial pulmonary fibrosis, also referred to as the Hamman-Rich syndrome, as generally known, is a disease difficult to diagnose without lung biopsy during life. Nevertheless, a few cases with the syndrome but without histological evidence have been reported in the literature. The present report concerns a patient who was diagnosed clinically as having Hamman-Rich syndrome because his clinical course, chest X-ray films and laboratory findings were indicative of the syndrome. Lung biopsy was not achieved because of the severity of symptoms, and the final diagnosis based upon postmortem examination was minimal gastric cancer and far advanced metastatic lung cancer. This 36-year-old man was admitted to the hospital because of cyanosis, sputum and progressive dyspnea. The PA chest roentgenogram revealed miliary nodules scattered extensively throughout the whole lung field and increased diffuse reticular mottling. Treatment with antibiotics, anti-inflammatory steroid hormones and oxygen inhalation were given, affording temporary relief, ending in a fatal respiratory insufficiency 45 days after admission.
京都大学の論文
1968-03-30