老年肺间质纤维化合并肺气肿病例45例临床分析

Clinical Analysis of 45 Cases of Elderly Patients with Pulmonary Fibrosis Merger Emphysema

目的探讨分析老年肺间质纤维化合并肺气肿患者的临床特点。方法分析2012年6月—2014年6月该院确诊肺间质纤维化合并肺气肿的45例(>70岁)患者的既往病史、临床症状、肺功能、血气分析、胸部高分辨CT(HRCT)等结果。结果大多数肺气肿合并肺间质纤维化患者均存在较长的吸烟史,HRCT是临床诊断该种疾病的主要手段,在HRCT下先发表现为肺气肿,临床表现上不仅存在肺间质纤维化特点,同时也存在肺气肿特点。结论虽然肺气肿、肺间质纤维化是不同的两种疾病,但两者常常会同时出现在老年患者身上,鉴于老年患者的生理特殊性,HRCT是临床诊断该种疾病的理想选择,可为疾病诊断提供重要参考。

Objectire Analysis of the clinical characteristic of elderly patients with pulmonary fibrosis merger emphysema. Meth-ods Choose 45 cases （〉70 years old） of the patients who were confirmed pulmonary fibrosis with emphysema in our hospital from June 2012 - June 2014 medical history, clinical symptoms, pulmonary function, blood gas analysis, chest high-resolution CT （HRCT） and so on. Results Most patients with emphysema with pulmonary interstitial fibrosis has a long history of smoking, HRCT is a major means of clinical diagnosis of the disease as the first performance is emphysema under the HRCT. Clinical manifesta-tions are pulmonary interstitial fibers and emphysema. Conclusion Although emphysema and pulmonary fibrosis are two different diseases but they often appear in the elderly patients at the same time. Due to the physiological characteristics of elderly patients so the HRCT is the ideal choice of the clinical diagnosis of the disease. It can provide important reference for the diagnosis of dis-ease.