摘要
目的探讨皮肌炎(DM)和多发性肌炎(PM)患者的肺部病变的表现和特点。方法对1994-2003年在我院就诊的DM和PM患者进行临床、放射学、彩色多普勒心动超声、肺功能的检查,分析其结果。结果PM和DM患者累及肺部时呼吸道的临床表现较为隐匿,PM和DM肺部病变的发生率为41.4%(96和232例),其中肺间质改变最多见,其次为胸膜炎、肺部浸润性病变、肺大泡等;肺间质病变在影像学上最常见的表现为不规则网状、线状阴影,44.7%有两种以上混合性病变同时存在,以中下肺及肺外周多见,多对称分布(83.0%);肺动脉高压发生率为13.5%,多为轻度增高;92.9%肺功能异常(52和56例),其中小气道损害31例(59.6%)。结论DM和PM患者肺部病变的的发生率很高,在影像学上肺间质病变最常见,小气道是DM和PM常见的靶器官,表现隐匿,应引起重视。
Objective To explore the manifestation and characteristics of pulmonary involvement in the paitients with Dermatcrayositis （EIVI）/Polymyosltis（PM）, Methods 96 cases of DM/PM from 1994 to 2003 were subjected examinations with clinical, mentgenologic, Doppler echocardiography and lung functional observation. Results The total prevalence of respiratory involment was 41.4 %, The change was the lung infiltration firstly, secondary was pleurisy, pulmonary hypertension, lung damage, pulmonary big - bubble etc;The conmon manifestation of the lung infiltration was irregular net and line umbra, 44.7 % cases have the compound damage existed, the middlelow part and lung peripheral are most seen, they were symmetrieal distributed（83.0 % ）. Conclusion The generation rate of the lung damage is very high. Lung, especially little airway is target organ. Its manifestation diversify, should be appreciated.
出处
《宁夏医学杂志》
CAS
2006年第1期40-42,共3页
Ningxia Medical Journal
