以弥漫性肺泡出血为主要表现的多发性肌炎伴多脏器功能障碍综合征1例

弥漫性肺泡出血是由肺泡毛细血管炎症所导致的持续的肺出血,病因多为毒物吸入、感染、凝血功能异常及自身免疫性疾病,在自身免疫性疾病中又常见于系统性红斑狼疮、抗中性粒细胞胞浆抗体(ANCA)相关性血管炎、Good-Pasture综合征等1],而在多发性肌炎患者中并发肺泡出血者很罕见.现报道我科于2020年成功救治的1例以弥...

Polymyositis presenting as diffuse alveolar hemorrhage and with multiple organ dysfunction syndrome: a case report

Polymyositis often presents a chronic course, and it is not uncommon for interstitial lung disease to be the first manifestation. However, it is very rare for patients with diffuse alveolar hemorrhage and multiple organ dysfunction after admission. The above complications can significantly increase the risk of death. This paper reports the treatment of a case of polymyositis with multiple organ dysfunction syndrome and diffuse alveolar hemorrhage as the main manifestation in our department in 2020, and summarizes the experience and reviews the relevant literatures.