摘要
目的探讨脂质性肺炎的临床特征,提高对该疾病的认识。方法对8例脂质性肺炎的临床特征进行回顾性分析。结果 8例患者中,男性5例,女性3例,年龄35-71岁,平均50.6岁,因咳嗽、胸痛等就诊。影像学多显示:斑片样实变、空洞病灶旁实变、结节型肿块,磨玻璃样、铺路石样改变。病理组织学显示:肺泡内聚集的载脂的巨噬细胞、空泡细胞、胆固醇结晶、慢性炎症。结论脂质性肺炎主要依赖于病理组织形态学。泼尼松或手术切除是临床治疗脂质性肺炎必要手段,未手术患者需定期随访。
Objective To investigate the clinical characteristics of lipid pneumonia, and to improve the un- derstanding of the disease. Methods The clinical data of 8 cases of lipid pneumonia were retrospectively analyzed. Results In the 8 patients, there were 5 males and 3 females with age from 35 to 71 years （mean age 50. 6 years）, respectively. Most patients were diagnosed because of cough, chest pain, etc. Radiography showed a airspace consol- idations, ground-glass attenuation, airspace nodules and ＇crazy-paving＇pattern. Histopathology revealed lipoid pneumonia was a chronic foreign body reaction to fat, characterized by lipid-laden macrophages. Conclusion Lipid pneumonia diagnosis relies on his-topathology. Surgical resection and prednisolone are clinical treatment for lipid pneumonia, and non-surgical treatment patients need a long-term follow-up.
作者
黄虎翔
王昌锋
周帆
HUANG Hu-xiang WANG Chang-ring Zhou Fan(Huanggang Central Hospital, Huanggang, Hubei 438000, Chin)
出处
《临床肺科杂志》
2017年第3期403-406,共4页
Journal of Clinical Pulmonary Medicine
关键词
脂质性肺炎
病理诊断
lipid pneumonia
pathological diagnosis
