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嗜酸性粒细胞肺炎1例并文献复习
引用本文:吴秋萍,谢敏,熊盛道,刘先胜,朱晶. 嗜酸性粒细胞肺炎1例并文献复习[J]. 临床肺科杂志, 2011, 16(3): 329-331
作者姓名:吴秋萍  谢敏  熊盛道  刘先胜  朱晶
作者单位:武汉,华中科技大学同济医学院附属同济医院呼吸内科,湖北,430030
基金项目:国家自然科学基金资助(No30900648)
摘    要:
目的总结1例诊断和治疗嗜酸性粒细胞肺炎1例的临床过程。方法对本院成功治疗1例嗜酸性粒细胞肺炎病例的临床资料进行分析,并文献复习。结果此例有顽固性喘息、血嗜酸性粒细胞增高、右下肺外周浸润影像学改变,患者给予糖皮质激素,辅以抗生素,止咳化痰等对症支持治疗,病情迅速好转,嗜酸性粒细胞恢复正常,治疗四天后胸部CT右侧结节影几近完全吸收,住院12 d后好转出院。结论嗜酸性粒细胞肺炎有着特有的典型症状,体征,影像学改变,容易被误诊,给予糖皮质激素维持治疗后可显著改善症状并控制病情的发展,改善预后。

关 键 词:嗜酸性粒细胞  肺炎  糖皮质激素

A case of eosinophilic pneumonia and review of related literature
WU Qiu-Ping,XIE Min,XIONG Sheng-dao,LIU Xiansheng,ZHU Jing. A case of eosinophilic pneumonia and review of related literature[J]. Journal of Clinical Pulmonary Medicine, 2011, 16(3): 329-331
Authors:WU Qiu-Ping  XIE Min  XIONG Sheng-dao  LIU Xiansheng  ZHU Jing
Affiliation:WU Qiu-ping,XIE Min,XIONG Sheng-dao,LIU Xiansheng,ZHU Jing.Department of Respiratory disease,Tongji Hospital,Affliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:
Objective To summarize the diagnosis and treatment of a case of eosinophilic pneumonia in the clinical process,providing clinical experience,for avoiding and reducing misdiagnosis.Methods To analyse a eosinophilic pneumonia which treated successfully in our hospital,and summarize the clinical features,diagnosis and treatment progress of the case.Furtherly review the related literature.Results The patient had experienced with refractory wheeze,eosinophilia,and infiltration in peripheral right lower lung in C...
Keywords:eosinophilic pneumonia  glucocorticosteroid.  
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