期刊文献+

以肿块伴空洞为表现的隐源性机化性肺炎一例并文献复习 被引量:1

Cryptogenic Organizing Pneumonia Featured by Mass and Cavity: A Case Report and Literature Review
原文传递
导出
摘要 目的回顾性分析经病理确诊的隐源性机化性肺炎(COP)的临床、病理和影像学特征,提高临床诊治水平。方法结合1例COP患者的临床资料和文献复习,总结该病的临床特点、影像学表现、病理学特征、鉴别诊断、治疗和预后。结果 COP临床表现缺乏特异性;影像学检查主要表现为实变影、磨玻璃影、结节影、各类线带状影;肺组织病理学主要特征是肺泡管、肺泡腔内见肉芽组织栓;对糖皮质激素治疗疗效显著;预后良好。结论 COP的诊断是临床-影像-病理的综合分析过程,以肿块及空洞为表现的COP少见,临床易误诊为肺部感染或肿瘤,抗感染治疗效果差,而糖皮质激素治疗有效,应及早获得病理学证据指导诊疗。 Objective To retrospectively analyze the clinical,pathological and imaging features of one case pathologically diagnosed as cryptogenic organizing pneumonia( COP) to improve clinical diagnosis and treatment. Methods With a case report and review of the related literatures,the clinical manifestations,radiological features,pathological features,differential diagnosis,management and prognosis of COP were discussed. Results The clinical manifestations of COP had no specificity. The imaging manifestations were real shadows,ground glass shadows,nodules and all kinds of tape. Pathological features of lung specimen biopsy showed buds of granulation tissue within alveolar ducts and alveoli consisting of fibroblasts. Remarkable response to corticosteroids was found in this patient. The prognosis of COP was good. Conclusions COP is diagnosed on basis of clinical,pathologic,and imaging findings. The radiological features of COP which show mass with cavity are rare. It can be easy misdiagnosed as lung infection or tumor. The effects of ordinary anti-bacteria therapy are limited,while the corticosteroids therapy shows preferable effects. Therefore,it's important to acquire pathological evidences as early as possible to guide the diagnose and treatment.
出处 《中国呼吸与危重监护杂志》 CAS 北大核心 2015年第2期168-172,共5页 Chinese Journal of Respiratory and Critical Care Medicine
关键词 隐源性机化性肺炎 特发性间质性肺炎 诊断 Cryptogenic organizing pneumonia Idiopathic interstitial pneumonia Diagnosis
  • 相关文献

参考文献15

  • 1Domingo Jesús García Aguilar,Isidoro Cobos Moreno,Antonio Vargas Puerto.Atypical Radiological Presentation of a Cryptogenic Organising Pneumonia[J]. Archivos de Bronconeumología (Internet) . 2010 (9)
  • 2Cory Schlesinger,Michael N Koss.The organizing pneumonias: an update and review[J]. Current Opinion in Pulmonary Medicine . 2005 (5)
  • 3R. Polverosi,M. Maffessanti,G. Dalpiaz.Organizing pneumonia: typical and atypical HRCT patterns[J]. La radiologia medica . 2006 (2)
  • 4Cryptogenic organizing pneumonia[J]. Clinics in Chest Medicine . 2004 (4)
  • 5J. M. Murphy,P. Schnyder,J. Verschakelen,P. Leuenberger,C. D. R. Flower.Linear opacities on HRCT in bronchiolitis obliterans organising pneumonia[J]. European Radiology . 1999 (9)
  • 6A. G. DAVISION,B. E. HEARD,W. A. C. MCALLISTER,M. E. H. TURNER-WARWI.Cryptogenic Organizing Pneumonitis. Quarterly Journal of Mathematics . 1983
  • 7Drakopanagiotakis Fotis,Polychronopoulos Vlasis,Judson Marc A.Organizing pneumonia. The American journal of the medical sciences . 2008
  • 8Johkoh T,Müller N L,Cartier Y,Kavanagh P V,Hartman T E,Akira M,Ichikado K,Ando M,Nakamura H.Idiopathic interstitial pneumonias: diagnostic accuracy of thin-section CT in 129 patients. Radiology . 1999
  • 9Radzikowska Elzbieta,Wiatr Elzbieta,Remiszewski Pawe?,Bestry Iwona,Grudny Jacek,Langfort Renata,Szopiński Janusz,Zych Jacek,P?odziszewska Monika,Rudziński Piotr,Gawryluk Dariusz,Roszkowska Barbara,Roszkowski Kazimierz.[Organizing pneumonia--analysis of 18 own cases]. Pneumonologia i alergologia polska : organ Polskiego Towarzystwa Ftyzjopneumonologicznego, Polskiego Towarzystwa Alergologicznego, i Instytutu Gru?licy i Chorób P?uc . 2005
  • 10American Thoracic Society/European Respiratory Society.International multidisciplinary consensus classification of the idiopathic interstitial pneumonias. American Journal of Respiratory and Critical Care Medicine . 2002

共引文献1

同被引文献3

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部