摘要
目的探讨原发性抗中性粒细胞胞质抗体(ANCA)相关性小血管炎肺部受累特点及临床误诊原因。方法分析6例患者的临床资料和误诊经过。结果患者4例误诊为肺部感染接受抗感染治疗,1例误诊断为消化道出血给予抑酸、止血治疗,仅1例首诊确诊。结论肺部影像表现以程度不同的满布两肺的点片状或斑片状模糊阴影为主。误诊原因多为对本病不认识或认识不足。
Objective Antineutrophil cytoplasmic antibody （ANCA）-associated fine-vasculitis often involved in the lungs, the paper is to probe into the features of this disease and find out its misdiagnostic reason. Methods Six cases of ANCA-associated fine-vasculitis were analyzed for their clinical data; their misdiagnostic courses were made clear. Results Four cases were misdiagnosed as lung infection,and were given anti-infective therapy;one case was misdiagnosed as alimentary tract hemorrhage, and given antacid and hemostatic therapy;only one case was correctly diagnosed as ANCA-associated fine-vasculitis. Conclusion The lung imaging showed that unsharp shadow of punctate or patchy area scattered over the two lobes to a certain degree. The reason for misdiagnosis is mostly ignoring this disease or knowing it not enough.
出处
《山西医药杂志》
CAS
2005年第9期732-733,共2页
Shanxi Medical Journal
