摘要
目的 探讨我国南方结节病的临床特点及诊疗情况。方法 采用回顾性研究的方法分析我院近 2 2年 3 1例确诊为结节病患者的临床资料。结果 结节病发病的高峰年龄是 3 0～ 5 0岁 ,女性患者多于男性患者 ,胸部X线检查是早期诊断的重要手段 ,支气管肺泡灌洗液 (BALF)中淋巴细胞的分类对于诊断很重要 ,确诊还依赖于组织病理学活检。结论 糖皮质激素对早期 (Ⅰ期和Ⅱ期 )结节病治疗是有效的 ,在临床上要采用个体化疗法 。
Objective To summarize the clinical features and therapy of sarcoidosis in the South of China.Methods A retrospective analysis was perfomed in 31 patients with sarcoidosis in past 22 years.Results The most frequent age at onset of sarcoidosis was 30～50 years old.Female patients were more than that in male patients. X-ray test of chest was the major way to diagnose the disease at early stage.The typing of lymphocytes in broncho-alveolar lavage fluid(BALF) has valuable to diagnose,but confirmed diagnosis depended on biopsy of histopathology.Conclusions Glucocorticoid is effective drug treatment for the most the patients who are at stage Ⅰ and Ⅱ. Every patient should be treated individually .If necessary,we should add immunosuppressors.
出处
《中国医师杂志》
CAS
2003年第1期53-55,共3页
Journal of Chinese Physician
