胆固醇性肺炎1例报告并文献复习

Report A Case of Endogenous Lipid Pneumonia and Literature Review

目的探讨胆固醇性肺炎的诊治特点。方法分析1例胆固醇性肺炎病例的诊治过程，并复习文献。结果胆固醇性肺炎常见症状及影像表现无特异性，病理特点为病变肺组织肺泡腔内充满大量泡沫细胞和间隔的纤维组织增生。结论胆固醇性肺炎是一种罕见慢性特发性肺部疾病，多累及肺叶或肺段，可表现为肿块、实变或不张等多种征象，易误诊为结核、肿瘤等，最终确诊依赖于病理组织学检查。

Objective To explore the diagnostic and therapeutic features of endogenous lipid pneumonia （ELP）. Methods To analyse the diagnosis and treatment of a patient with ELP and review literature. Results ELP had nonspecific symptom usually . Its pathology showed large amounts of foam cells in diseased pulmonary alveoli and interstitial fibro-plastic proliferation were seen. Conclusions ELP is a rare chronic disease of lung, which mainly involves pulmonary lobe or segment,presenting as mass , consolidation or atelectasis, which may be easily misdiagnosed as tuberculosis or neoplasm. A definitive diagnosis depends on pathological evidence.