- 主辦 / 主持人
- 高雄榮民總醫院內科部
- 積分
- B類 1 分
- 分類
- 未分類
- 聯絡人
- 邱沛晴 07-3422121#72084
- 活動日期
- 2026-05-07 (四) 14:00 ~ 15:00
- 地點
- 高雄榮民總醫院第二會議室
- 說明
- A 28-year-old woman was transferred to the intensive care unit (ICU) of this hospital because of progressive respiratory failure. She had a history of exercise-induced asthma, for which she had briefly used inhaled albuterol as a teenager. On pulmonary-function testing performed, the spirometry results and lung volumes were normal, but the diffusing capacity of the lungs for carbon monoxide was severely reduced. Computed tomography (CT) of the chest, performed without the administration of contrast material, showed diffuse, centrilobular, nodular ground-glass opacities in both lungs with mild enlargement of several mediastinal lymph nodes. The findings were thought to be indicative of hypersensitivity pneumonitis. Transthoracic echocardiography reportedly showed a small left ventricle with normal function, a markedly dilated and hypokinetic right ventricle, and interventricular septal compression. 3-year history of exertional dyspnea presented with severe hypoxemia and right heart failure that had been caused by rapidly progressive pulmonary hypertension. Determining the underlying cause of this patient’s pulmonary hypertension is a critical first step toward building a differential diagnosis.
摘要檔案: 0507講師資料表CM_洪維程 _摘要.pdf
2026-05-07 高雄榮民總醫院第二會議室
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