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肺结节病7例临床分析 被引量:2

Clinical analysis of 7 cases of pulmonary sarcoidosis
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摘要 目的提高对肺结节病的认识,探讨肺结节病的临床特点及诊断和治疗方法。方法分析7例肺结节病患者的临床资料。结果 (1)40岁以下患者多见,女性多于男性;(2)症状多样且无特异性。(3)胸部X线及CT检查是早期诊断的重要手段,SACE及PPD试验对诊断有帮助;(4)确诊依赖组织病理学检查。结论肺结节病临床表现多样,糖皮质激素治疗有效。关键是提高肺结节病的诊断意识。 Objective To explore the clinical features and managements of pulmonary sarcoidosis for improving the awareness of puhnnnary sarcoidosis. Methods The clinical findings and outcomes of 7 patients with pulmonary sarcoidosis were retrospectively ana- lyzed. Results ( 1 ) Most of the patients were younger than forty years old, and female were more than male. (2) The clinical symptoms of sarcoidosis were varied and had no specificity. (3) The chest X-ray and hmg CT scan were the major ways to diagnose the disease at early stage. Serum angiotensin I converting enzyme (SACE) and purified protein derivative (PPD) skin test were valuable for its diagno- sis. (4) Definitive diagnosis depended on the pathological examination. Conclusion The pulmonary sarcoidosis has atypical clinical presentations, and glucocorticoids is the effective drug for therapy. The key point is to improve the awareness of pulmonary sarcoidosis.
出处 《临床肺科杂志》 2013年第6期1030-1031,共2页 Journal of Clinical Pulmonary Medicine
关键词 肺结节病 诊断 治疗 pulmonary sarcoidosis diagnosis management
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