隐源性机化性肺炎7例临床诊断及特征分析

中国医药导刊 ›› 2020, Vol. 22 ›› Issue (3): 162-165.

隐源性机化性肺炎7例临床诊断及特征分析

李报春¹,李怀东²

解放军第960医院泰安院区呼吸科，山东泰安 271000

收稿日期:2019-11-26 修回日期:2019-12-17 出版日期:2020-03-31 发布日期:2020-05-14

Clinical Diagnosis and Analysis of 7 Cases of Cryptogenic Organizing Pneumonia

LI Baochun， LI Huaidong*

Department of Respiratory Diseases， Tai′an Branch， the 960th Hospital of PLA，Shandong Tai′an 271000， China

Received:2019-11-26 Revised:2019-12-17 Online:2020-03-31 Published:2020-05-14
Contact: baochun baochunLi E-mail:lihd2003@163.com

摘要/Abstract

摘要： 探讨隐源性机化性肺炎(COP)的临床表现、实验室检查、胸部影像、治疗转归等在诊治方面的价值。方法： 7例COP患者均经CT或彩超引导下肺穿刺活检病理确诊且治疗效果良好，对其临床表现、实验室检查、胸部影像及治疗转归等资料进行回顾性分析。结果：临床表现、实验室检查均无特异性，影像有多种表现，确诊必须依赖于病理诊断。结论：对于治疗效果差，影像不典型的患者，应及时进行肺穿刺活检。

关键词: font-size:medium, ">隐源性机化性肺炎；肺穿刺；诊断；临床表现；转归

Abstract: To explore the value of clinical manifestation， laboratory examination， chest imaging and treatment outcome in the diagnosis and treatment of cryptogenic organizing pneumonia (COP). Methods： Seven patients with COP were diagnosed by CT or color Doppler ultrasound guided lung biopsy. The clinical manifestation， laboratory examination， chest imaging and treatment outcome were analyzed retrospectively. Results： The clinical manifestations， laboratory tests are not specific， and chest imaging has multiple manifestations.The diagnosis must depend on pathological diagnosis. Conclusion： For patients with poor therapeutic effect and atypical imaging， lung biopsy should be performed in time.

Key words: font-size:medium, ">Cryptogenic organizing pneumonia； Lung puncture；Diagnose； Clinical manifestation； Outcome

中图分类号:

李报春李怀东. 隐源性机化性肺炎7例临床诊断及特征分析[J]. 中国医药导刊, 2020, 22(3): 162-165.

LI Baochun, LI Huaidong. Clinical Diagnosis and Analysis of 7 Cases of Cryptogenic Organizing Pneumonia[J]. CHINESE JOURNAL OF MEDICINAL GUIDE, 2020, 22(3): 162-165.

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