弥漫性泛细支气管炎的诊治进展

弥漫性泛细支气管炎是一种少见的小气道疾病,临床多被误诊为慢性阻塞性肺疾病、支气管扩张、呼吸性细支气管炎伴间质性肺病和慢性外源性过敏性肺泡炎等,确诊需掌握显微镜下组织病理学特点;典型病例可以根据呼气相高分辨率CT扫描、CT表现的Akira分型结合日本1998年修订的临床诊断标准诊断。红霉素小剂量、长期给药疗法疗效确切,但是对于肝功能差,不能持续服用红霉素的患者,小柴胡汤等中西医结合治疗有良好的效果。临床还需要进一步提高对弥漫性泛细支气管炎的认识。

The Advanced Diagnoisis and Therapy of Diffuse Panbronchiolitis

Diffuse panbronchiolitis(DPB)was a scarce small-air way disease,It was misdiagnosised for COPD、bronchiectasis、RBILD、Chronic hypersensitivity pneumonitis et al.To make a definite diagnosis need to master the histopothological characteristics of Diffuse panbronchiolitis under microscope; typical case could be diagnosis by expiratoryphase high-resolution CT scanning、Akira subtypes combine the standard of diagnosis.Small dose、long term therapy of erythrocin was effectual,but to patients of hypohepatia,the treatment of traditional Chinese medicine combine western medicine about macrolides and Xiaocaihu Decoction was well effectual.