摘要
提高对肺结节病的认识及诊治。 [方法 ] 对 1984～ 1992年诊治的 5例结节病患者的临床误诊资料进行分析。 [结果 ] 肺结节病临床表现不典型 ,胸部X线常表现为肺门增大 ,易误诊为结核或肿瘤 ,病理检查可确诊。 [结论 ] 两肺门对称性增大是肺结节病最有代表性的征象 ,临床上应想到结节病 ,激素治疗有效 ,但量要大 ,时间要长。
Objective] To improve the recognition, diagnosis and treatement of pulmonary sarcoidosis. [Methods] Five cases of misdiagnosed sarcoidosis from 1984 to 1992 were collected and their clinical features were analyzed. [Results] The clinical manifestations of pulmonary sarcoidosis were not typical. Its chest X ray film often showed the enlargement of hilum, liable to be misdiagnosed as trberculosis or trmor. Diagnosis were made through pathological examination. [Conclusions] The symmetric enlargement of the two lung hila is the most typical sign for which pulmonary sarcoidosis should be considered clinically. The treatment with corticosterone is effective, but dosage should be large and course prolonged.
出处
《上海预防医学》
CAS
2000年第7期320-321,共2页
Shanghai Journal of Preventive Medicine
