發(fā)布時間：2019-08-05 11:34

【摘要】：目的提高對急性纖維素性機化性肺炎(AFOP)臨床特征的認識。方法分析福州肺科醫(yī)院收治的1例確診AFOP,并通過萬方數(shù)據(jù)庫檢索關(guān)鍵詞"纖維素性機化性肺炎"進行文獻復習。結(jié)果共檢索到4篇文獻9例病例,加上該院1例,共10例病例。男7例,女3例,年齡43~78歲。臨床癥狀及檢查:咳嗽8例,胸悶、氣促、呼吸困難8例,發(fā)熱9例,4例肺部聞及爆裂音,白細胞升高2例,中性粒細胞升高6例,C反應(yīng)蛋白(CRP)升高9例,紅細胞沉降率(ESR)增快8例,PO2波動于54~69 mm Hg;胸部CT有3例初始是單側(cè)病變,7例雙側(cè)病變,影像特征主要為斑片、實變影、磨玻璃影,可伴有支氣管充氣征。確診均通過病理活檢,6例行肺穿刺,3例行纖維支氣管鏡(纖支鏡),1例既做肺穿刺又做纖支鏡檢查。治療均應(yīng)用甲潑尼龍,無機械通氣病例,死亡1例。結(jié)論 AFOP作為新型的間質(zhì)性肺病,病因不明,好發(fā)于中老年人,臨床表現(xiàn)類似"肺炎",易誤診,確診有賴于組織病理,糖皮質(zhì)激素療效好,但激素用量、療程無定論,遠期療效未知。
[Abstract]:Objective to improve the understanding of (AFOP) clinical features of acute cellulose-induced organic pneumonia. Methods A case of AFOP, diagnosed in Fuzhou Lung Hospital was analyzed and the key word "Cellulose Organizing pneumonia" was searched by Wanfang Database for literature review. Results A total of 9 cases of 4 articles were searched, plus 1 case of this hospital, a total of 10 cases. There were 7 males and 3 females, aged 43 鈮，

本文編號：2523103