摘要
目的 通过探讨特发性肺纤维化 (IPF)的临床特点 ,提高对 IPF的认识。方法 对 10例符合“中华医学会呼吸分会特性肺纤维化诊断标准”的 IPF患者进行回顾性分析。结果 男女之比 3∶ 7,年龄 34～ 70岁 ,平均 5 5 .8岁。 10例均有咳嗽伴进行性呼吸困难和 Velcro罗音。 X线表现为磨玻璃样、网状、结节状、条索状及蜂窝状阴影。 10例均有弥散功能障碍 ,3例限制性通气功能障碍 ,3例混合性通气功能障碍。动脉血气分析示低氧血症。结论 对长期咳嗽伴有呼吸困难的患者 ,及时行胸部 X线、肺功能、动脉血气分析及支气管肺泡灌洗检查 。
Objective To have a gain in knowledge of idiopathic pulmonary fibrosis(IPF) by investigating its clinical features.Methods Retrospective analysis was conducted on 10 cases of IPF according to the diagnostic criteria formulated by the Respiratory Branch of Chinese Medical Association.Results The patients (male 3,female 7),aged 34～70 years with an average of 55.8,had cough accompanied by progressive dyspnea and Velcro rale.X ray examination showed glassy,reticular,nodular,stripe and alveolate lesions.Out of 10cases with diffuse dysfunction,3 had restrictive ventilation dysfunction and 3 had combined ventilation dysfunction.Arterial blood gas analysis indicated hypoxemia.Conclusion To perform examinations such as chest X ray,pulmonary function,arterial blood gas analysis and bronchoalveolar lavage on patients with chronic cough and dyspnea in time is necessary for the diagnosis of IPF.
出处
《四川医学》
CAS
2000年第6期492-494,共3页
Sichuan Medical Journal
