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隐源性机化性肺炎7例分析
引用本文:陶章,仇爱民,张海林. 隐源性机化性肺炎7例分析[J]. 临床肺科杂志, 2013, 18(3): 453-454
作者姓名:陶章  仇爱民  张海林
作者单位:盐城市第三人民医院呼吸内科
摘    要:目的提高对隐源性机化性肺炎(COP)的诊治水平。方法对7例诊断明确的病例进行总结,探讨COP的临床、病理、影像学特点及治疗和预后。结果 7例中女性5例,男性2例,肺功能6例显示限制性通气功能障碍,1例患者为混合型通气功能障碍。7例患者均被误诊,影像学示"五多一少"特点,使用抗生素治疗无效,肺活检而明确诊断,糖皮质激素治疗有效,随访示预后好。结论临床表现及影像学特征和诊疗经过,对诊断有一定的提示作用,确诊依靠肺活检病理检查。

关 键 词:隐源性机化性肺炎  临床  影像学  病理  诊断

Analysis of 7 cases of cryptogenic organized pneumonia
TAO Zhang,QIU Ai-ming,ZHANG Hai-lin. Analysis of 7 cases of cryptogenic organized pneumonia[J]. Journal of Clinical Pulmonary Medicine, 2013, 18(3): 453-454
Authors:TAO Zhang  QIU Ai-ming  ZHANG Hai-lin
Affiliation:g Department of Respiratory Medicine,the Third People′s Hospital of Yancheng,Yancheng,Jiangsu 224001,China
Abstract:Objective To improve the ability of diagnosis and treatment of cryptogenic organized pneumonia. Methods 7 diag- nosed patients were selected to analyze their clinical characteristics, pathology, imaging features, treatment and prognosis. Results There were 5 male patients and 2 female patients. Through lung function test, 6 cases showed a restrictive ventilatory defect, and 1 case showed impairment of carbon monoxide transfer factor. All of the 7 cases were misdiagnosed, and the antibiotics were ineffective. Their pathologies were confirmed by lung biopsy and the conditions of the 7 patients turned better treated with glucocorticoid. Conclusion The clinical manifestations and imaging features can be taken as the suggestions of the diagnosis of patients with cryptogenic organized pneumo- nia, but the confirmation should be based on lung biopsy.
Keywords:cryptogenic organized pneumonia  clinic  imaging  pathology  diagnosis
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