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原发性巨球蛋白血症的肺胸膜表现(附5例报告)
引用本文:马俊义,董作仁,孟宪芝,姚尔固.原发性巨球蛋白血症的肺胸膜表现(附5例报告)[J].河北医科大学学报,1987(4).
作者姓名:马俊义  董作仁  孟宪芝  姚尔固
作者单位:河北医学院附属二院内科,河北医学院附属二院内科,河北医学院附属二院内科,河北医学院附属二院内科 进修医师
摘    要:本文报告5例原发性巨球蛋白血症的肺胸膜表现,全部有呼吸系统症状,胸部X线表现两肺纹理增多、增粗者3例,网状或点状密度增高阴影呈间质纤维化2例,两肺门淋巴结肿大2例,胸腔积液2例,1例并发第二肿瘤—肺癌,经肾上腺皮质激素和细胞毒药物治疗,随原发性巨球蛋白血症的缓解,肺胸膜病变消退,作者认为肺胸膜病变与原发性巨球蛋白血症有关。

关 键 词:原发性巨球蛋白血症  肺胸膜

PLEURO-PULMONARY MANIFESTATIONS IN WALDENSTROM MACROGLOBULINEMIA(WM)(REPORT OF 5 CASES)
Ma Zunyi Dong Zuoren Meng Xianzhi Yao Ergu.PLEURO-PULMONARY MANIFESTATIONS IN WALDENSTROM MACROGLOBULINEMIA(WM)(REPORT OF 5 CASES)[J].Journal of Hebei Medical University,1987(4).
Authors:Ma Zunyi Dong Zuoren Meng Xianzhi Yao Ergu
Institution:Ma Zunyi Dong Zuoren Meng Xianzhi Yao Ergu Department of Internal Medicine,Second Affilited Hospital In-service training doctor
Abstract:5 cases of WM with pleuro-pulmonary lesions were described. All had marked respiratory symptoms. Chest films disclosed bilateral thickening of lung marking in 3 cases, interstitial fibrosis in 2 cases bilateral hilar lymphadenopathy in 2 cases, pleural effusion in 2 eases, and second malignancy-lung cancer in 1 case. After the administration of corticosteroid and cytotoxic drugs, WM remitted and the pleuro-pulmonary lesions subsided. We consider that the pleuro-pulmonary lesions are related to WM per se.
Keywords:waldenstrom macroglobulinemia  pleuro-pulmonary symptoms
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