摘要
目的:探讨间质性肺疾病(ILD)的临床诊断、鉴别诊断及对预后判断的意义。方法:对45例以弥漫性肺间质病变为主要表现患者的临床症状、体征、X线胸片和高分辨率CT表现及其他辅助检查等结果进行回顾性分析。结果:在此45例患者中,确诊为特发性肺纤维化(IPF)的29例,结缔组织致肺间质纤维化(PIF)的8例,粉尘所致肺纤维化的6例,药物引起的3例;COPD合并PIF的19例,PIF合并慢性肺源性心脏病的22例,PIF合并感染的40例。结论:ILD的治疗方案的选择主要取决于IDL的病因诊断以及病人的整体健康状况。
Objective To assess the clinical characteristics and treatment options of patients with interstitial lung disease（ILD）.Methods A retrospective study in which consecutive patients with ILD,were investigated with the clinical courses,symptoms,physical signs,chest radiography features,CT or HRCT of the chest,pulmonary function and so on.Results Among 45 patients,the numbers of idiopathic pulmonary fibrosis was the highest,followed by connective tissue diseases,chronic obstructive pulmonary disease and congestive heart failure.Conclusion ILD in the choice of treatment depends primarily on the diagnosis of the cause of the IDL and the patient＇s overall health status and other factors.
出处
《求医问药（下半月刊）》
2012年第6期44-45,共2页
Seek Medical and Ask The Medicine
关键词
间质性肺疾病
弥漫性肺实质性疾病
特发性肺纤维化
interstitial lung disease
diffuse parenchymal lung disease
idiopathic pulmonary fibrosis
