| 14例多发性肌炎/皮肌炎的肺间质病变误诊分析 |
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| 引用本文： | 曹文利,马瑛,徐玉华,张培元,盖迎丽.14例多发性肌炎/皮肌炎的肺间质病变误诊分析[J].中国防痨通讯,2002,24(3):134-136. |
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| 作者姓名： | 曹文利 马瑛 徐玉华 张培元 盖迎丽 |
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| 作者单位： | 北京胸科医院 北京 100095； |
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| 摘 要： | 目的 提高对多发性肌炎/皮肌炎 (PM/DM )合并肺间质病变 (ILD)的认识。方法 对14例PM DM合并ILD进行回顾性临床分析。结果 14例中男女之比为8:6，平均年龄43.7岁，平均误诊时间6.2个月，误诊为呼吸系统疾病22例次，误诊为感染性疾病21例次。结论 误诊原因:年龄及性别反差；ILD症状在前为主掩盖了PM/DM；检查手段特异性和敏感性差。电视引导下经胸腔镜 (VATS)活检，可提高PM DM并ILD诊断的准确性。
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| 关 键 词： | 多发性肌炎/皮肌炎 肺间质病变 误诊 |
| 修稿时间： | 2001年2月22日 |
Analysis of misdiagnosis of 14 patients with polymyositis(PM/DM)complicated by interstitial lung disease |
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| CAO Wen-li,MA Ying,XU Yu-hua,et al..Analysis of misdiagnosis of 14 patients with polymyositis(PM/DM)complicated by interstitial lung disease[J].The Journal of The Chinese Antituberculosis Association,2002,24(3):134-136. |
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| Authors: | CAO Wen-li MA Ying XU Yu-hua |
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| Institution: | Beijing Chest Hospital,Beijing 100095 |
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| Abstract: | Objective To know more about polymyositis (PM/DM) complicated by interstitical lung disease (ILD).Methods Clinical analysis of 14 patients with PM/DM complicated by inters titial lung disease (ILD).Results Male to female ration was 8∶6,averge age is 43.7,and average duration of misdiagnosis was 6.2 months,there were 22 patients misdiagnosed for respiratory system diseases and 21 patients for inflammation diseases.Conclusion Misdiagnoses are unusual between age and sex.The syndromes of ILD,which occur before those of PM/DM easily.limitations of acknowledge of PM/DM,the low specificity and sensitivity of examination.Biopsy through video-assistant thorascope (VATS) can increase the diagnoses of PM/DM with ILD. |
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| Keywords: | PM/DM LID Misdiagnosis |
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