摘要
目的探讨过敏性肺炎影像学表现及临床特点,提高与肺结核鉴别的诊断水平。方法回顾分析经支气管镜活检或细胞学确诊的过敏性肺炎7例,分析与肺结核影像的鉴别诊断。结果过敏性肺炎影像表现为云絮样病变,斑片样改变,团块样改变,散在粟粒样小结节状改变,与肺结核影像相似,但可在短期内好转或痊愈。结论过敏性肺炎因症状和影像学表现不典型,有时不易与肺结核相鉴别,应结合临床、影像、实验室、支气管镜活检及细胞学检查等手段确诊。
[Objective] To explore the clinical and CT features of hypersensitivity pneumonitis, and to improve differential diagnosis from tuberculosis. [Methods] To summarize the clinical data of seven cases with hypersensitivity pneumonitis, those diagnosis were conformed on bronchoscopy biopsy or cytology, analyze their dissimilarity radiography characteristic from tuberculosis.[Results]Hypersensitivity pneumonitis＇s characteristic performance presents cloud floccules, dim patch, conglomeration, miliary small nodular, which gradually absorbed in the short term or curing. [Conclusions] Hypersensitivity pneumonitis＇asclinical symptons and chest radiography characteristic frequently are not typical, and sometimes patients were misdiagnosed as tuberculosis. Right diagnosis could be made by clinic, imaging, laboratory, bronchoscopic biopsy and cytology.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2008年第15期2211-2212,2215,共3页
China Journal of Modern Medicine
关键词
肺结核
过敏性肺炎
诊断
误诊
pulmonary tuberculosis
hypersensitivity pneumonitis
diagnosis
misdiagnosis
