急性嗜酸粒细胞性肺炎1例并文献复习

One case of acute eosinophilic pneumonia and review of literature

目的探讨急性嗜酸性粒细胞肺炎的临床表现、诊断、治疗方法及预后。方法结合我院收治的1例急性嗜酸粒细胞性肺炎的临床资料及国内外文献报道的病例进行综合分析。结果患者18岁，青年男性，咳嗽、咯痰10余天，胸闷、胸痛8d，加重伴发热4d入院。胸部CT示双肺炎，双侧胸腔积液，机感染治疗无效，病情进行性加重，胸水中找到嗜酸粒细胞大于50％，考虑急性嗜酸粒细胞性肺炎，在抗感染基础上加埘激素治疗后好转。结论急性嗜酸粒细胞性肺炎是一种少见病，有自限性，激素治疗有效。

Objective To explore the clinical manifestations, diagnosis, treatment and prognosis of acute eosinophilic pneumonia. Methods The clinical data of one case of acute eosinophilic pneumonia and literatures were comprehensively analyzed. Results The patient had cough and sputum for more than ten days,had chest tightness and chest pain for eight days, had fever for four days. Chest CT showed double pncumonia, bilateral pleural effusion. Antiqnfective treatment failed, the condition progressively aggravated. Eosinophils were more than 50% in pleural effusion. Acute eosinophilic pneumonia was considered. After treatment with hormone on the basis of the anti infection, the condition improved. Conclusions Acute eosinophilic pneumonia is a rare and self limiting disease,and hormone treatment is effective.