急性纤维素性机化性肺炎1例并文献复习

A cases report of acute fibrinous and organizing pneumonia

急性纤维素性机化性肺炎属肺间质疾病中罕见的类型,临床特征无特异性,确诊常依赖肺活检病理。本文报道1例急性纤维素性机化性肺炎,初诊诊断为社区获得性肺炎,经验性抗感染药物治疗效果不佳,最终经肺穿刺活检病理确诊,经激素治疗效果显著。对于临床经验性治疗效果不佳的肺炎患者,如炎症指标等均无显著异常的情况下,需尽早行肺组织活检病理明确诊断,能有效缩短住院时间,减少医疗费用支出。

Acute fibrinous and organizing pneumonia is a rare type of interstitial lung disease,with no specific clinical characteristics,and its diagnosis often depends on lung biopsy pathology.This paper reports a case of acute fibrinous and organizing pneumonia,which was initially diagnosed as community-acquired pneumonia.The result of empiric anti-infective drug therapy was unsatisfied,and was finally confirmed by lung biopsy and hormone therapy.For pneumonia patients with poor clinical empirical treatment,if there are no significant abnormalities in inflammatory indicators,lung biopsy should be performed as soon as possible to confirm the diagnosis,which could effectively shorten the length of hospital stay and reduce medical expenses.