| 支气管扩张顽固性咯血的临床及病理特征 |
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| 引用本文： | 汪萤,丁敏,王晓秋.支气管扩张顽固性咯血的临床及病理特征[J].中国临床保健杂志,2003,6(3):180-181. |
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| 作者姓名： | 汪萤 丁敏 王晓秋 |
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| 作者单位： | 1. 安徽省立医院呼吸科,合肥,230001
2. 安徽省立医院病理科,合肥,230001 |
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| 摘 要： | 目的 了解支气管扩张 (支扩 )症顽固性咯血的可能原因 ,为临床治疗提供依据。方法 收集19例因顽固性咯血经术前胸部CT及术后病理检查确诊为支扩的病例 ,进行总结分析。结果 患者均无营养不良及杵状指 ,肺部罗音少 ;影像学改变明显、胸部CT显示支扩更为明确 ;切除肺部标本可见胸膜、软骨及肺血管发育不良 ,标本剖面有脓液 ;病理学镜下示粘膜以淋巴细胞浸润为主的慢性炎症改变为著。合并曲菌感染 8例 (42 % )。结论 支扩顽固性咯血 ,感染可能是重要原因。除细菌感染外 ,还应关注真菌感染
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| 关 键 词： | 支气管扩张症 顽固咯血 病理特征 曲菌感染 |
| 文章编号： | 1671-1289(2003)03-0180-02 |
| 修稿时间： | 2003年9月5日 |
The clinical manifestation and pathology characteristics of obstinate emptysis in patients with bronchiectasis |
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| WANG Ying..The clinical manifestation and pathology characteristics of obstinate emptysis in patients with bronchiectasis[J].Chinese JOurnal of Clinical Healthcare,2003,6(3):180-181. |
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| Authors: | WANG Ying |
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| Abstract: | Objective To study the possible causes of obstinate emptisis in patients with bronchiectsis in order to supply exact evidences for clinical management.Methods The clinical data were compared with pathological examinations in 19 patients with bronchiecasis of obstinate emptysis which had been diagnosed by chest CT and past operative pathological examinations.Results Chest CT supported the diagnostic significance for bronchiectasis in patients without finger clubbing,malnutrition,less lung rales.The pathological specimens of past operation were found hypoplasia of pleura,gristle and hypogenesis of lung blood vessels.Mucous membrane manly showed chronic inflammation infiltrated by lymphocytes under microscope.Among them,8 cases were found aspergillosis infection accounting for 42%.Conclusion The possible causes of obstinate emptysis in patients with bronchiectasis are mainly infections.Except bacteria,fungi infections should be emphasized. |
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| Keywords: | Bronchiectasis Obstinate emptysis Pathological characteristic Fungi infection |
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