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弥漫性间质性肺疾病的诊断思路 被引量：2

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摘要 一、概念和分类 弥漫性间质性肺疾病是一组以肺间质炎症和纤维化为主要表现的异源性疾病,因病变主要发生在肺间质,故而得名。目前,许多临床医师对弥漫性间质性肺疾病的概念和分类不清,看到双肺弥漫性病变就笼统归为“肺间质纤维化”，从而导致诊断和治疗的错误，因此有必要对弥漫性间质性肺疾病的概念和分类作一解释。
作者 徐作军
机构地区 中国医学科学院中国协和医科大学北京协和医院呼吸科
出处 《老年医学与保健》 CAS 2007年第4期194-198,共5页 Geriatrics & Health Care
关键词 弥漫性间质性肺疾病 诊断 双肺弥漫性病变 肺间质纤维化 肺间质炎症 主要表现 临床医师 分类
分类号 R563.9 [医药卫生—呼吸系统]
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参考文献5

  • 1Travis WD,King TE,Bateman ED,et al.American thoraeic society/european respiratory society international multidisciplinary consensus classification of the idiopathic interstitial pneumonias.Am J Respir Crit Care Med,2002,165:277-304.
  • 2Meyer KC.The role of bronchoalveolar lavage in interstitial lung disease.Clin Chest Med,2004,25:637-649.
  • 3Berbescu EA,Katzenstein AL,Snow JL et al.Transbronchial biopsy in usual interstitial pnenmonia.Chest,2006,129:1126-1131.
  • 4Sharma S,Maycher B.Is HRCT the best way to diagnose idiopathic interstitial fibrosis? Curr Opin Pulm Med,2006,12(5):323-330.
  • 5Fishbein MC.Diagnosis:to biopsy or not to biopsy:assessing the role of surgical lung biopsy in the diagnosis of idiopathic pulmonary fibrosis.Chest,2005,128(5 Suppl 1):520S-525S.

同被引文献16

  • 1杨泽刚.40例弥漫性肺间质性病变的纤维支气管镜检查结果分析[J].医学临床研究,2003,20(12):937-938. 被引量：3
  • 2杨秀芝,马利娟.舒利迭吸入治疗慢性阻塞性肺疾病的临床疗效研究[J].临床荟萃,2005,20(22):1300-1301. 被引量：18
  • 3American Thoracic Society, European Respiratory Society. American Thoracic Society/European Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. This joint statement of the American Thoracic Society ( ATS ), and the European Respiratory Society (ERS) was adopted by the ATS board of directors,June 2001 and by the ERS Executive Committee,June 2001[J]. Am J Respir Crit Care Med,2002,165(2):277-304.
  • 4Hunninghake GW, Zimmerman MB, Schwartz DA, et al. Utility of a lung biopsy for the diagnosis of idiopathic pulmonary fibrosis[J]. Am J Respir Grit Care Med,2001,164(4) :193- 196.
  • 5Raghu G, Collard HR, Egan JJ, et al. An official ATS/ ERS/JRS/ALAT statement: idiopathic pulmonary fibrosis: evidence-based guidelines for diagnosis and management [J]. Am J Respir Crit Care Med,2011,183(6):788-824.
  • 6Gulati M. Diagnostic assessment of patients with interstitial lung disease[J]. Prim Care Respir J,2011,20(2): 120-127.
  • 7American Thoracic Society; European Respiratory Society. American Thoracic Society/European Respiratory Society International Muhidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. This joint statement of the American Thoracic Society (ATS), and the European Respiratory Society (ERS) was adopted by the ATS board of directors, June 2001 and by the ERS Executive Committee, June 2001[J]. Am J Respir Crit Care Med,2002,165(2):277-304.
  • 8Ward J, McDonald C. Interstitial lung disease-An approach to diagnosis and management[J]. Aust Fam Physician,2010,39(3): 106-110.
  • 9Cottin V, Cordier JF. Velcro crackles: the key for early diagnosis of idiopathic pulmonary fibrosis? [J]. Eur Respir J,2012,40(3):519-521.
  • 10Gotway MB, Freemer MM, King TE Jr. Challenges in pulmonary fibrosis. 1: Use of high resolution CT scanning of the lung for the evaluation of patients with idiopathic interstitial pneumonias[J]. Thorax,2007,62(6):546-553.

引证文献2

二级引证文献4

老年医学与保健
2007年 第4期

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