case_images: PMC11092540_01
case_images: Chest CT: The image showed a symmetrical bony thorax, centered mediastinal trachea, increased and disordered texture of both lungs, uneven enhancement of transmission brightness of both lungs, multiple vesicular transparent areas in both lungs and part of the unclear boundary. A small nodular shadow (im13, 0.4 cm in length) was found in the apical segment of the right upper lobe. Bilateral pleural thickening was found, and bilateral pleural effusion was not found.
case_images: 10.1177_11795476241253107-fig1.jpg
case_images: PMC11092540_01_10.1177_11795476241253107-fig1.jpg
case_images: fig1-11795476241253107
case_images: C-reactive protein of 0.80 mg/l (normal range: 0.00-10.00), type B brain natriuretic peptide precursor (NT-pro BNP) <10.00 pg/ml (normal range: 0-125), and left ventricular ejection fraction of 67%. Chest CT showed (Figure 1) chronic bronchitis with emphysema and alveolar manifestations and small nodules in the upper lobe of the right lung.
case_images: Fluid intake, fluid output, number of asthma attacks, and total duration of asthma attacks. Fluid intake = water intake + intravenous fluid volume (x103 ml); Fluid output = urine output (x103 ml); Number of asthma attacks: the total number of asthma attacks in a day; Total duration of daily asthma attacks: total duration of daily asthma attacks (x10 minutes).
case_images: 10.1177_11795476241253107-fig2.jpg
case_images: PMC11092540_01_10.1177_11795476241253107-fig2.jpg
case_images: fig2-11795476241253107
case_images: Starting on March 16, we began to strictly control the patient's water intake and record the patient's daily intake and output (Figure 2). The number of asthma attacks per day and the total duration of asthma attacks in the patient gradually decreased from March 18 (Figure 2).
case_images: The patient's weight and the dose of diuretics and steroids. Diuretics: furosemide injection (20 mg), bumetanide injection (1 mg), furosemide tablets (20 mg), and spironolactone (20 mg); Steroids: sodium methylprednisolone succinate for injection (40 mg) and dexamethasone sodium phosphate injection (5 mg).
case_images: 10.1177_11795476241253107-fig3.jpg
case_images: PMC11092540_01_10.1177_11795476241253107-fig3.jpg
case_images: fig3-11795476241253107
case_images: He also stopped gaining too much weight, and his use of diuretics and steroids was tapered (Figure 3).
case_images: Net fluid intake, number of asthma attacks, and total duration of asthma attacks. Net fluid intake = fluid intake - fluid output (x102 ml); Number of asthma attacks: the total number of asthma attacks a person has in a day; Total duration of daily asthma attacks: total duration of each asthma attack in a day (x10 minutes).
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case_images: PMC11092540_01_10.1177_11795476241253107-fig4.jpg
case_images: fig4-11795476241253107
case_images: Thereafter, his asthma was gradually controlled and his fluid intake and output were in dynamic balance (Figure 4).