摘要
本文对X线胸片呈弥漫性间质性肺疾病48例,并以仅有呼吸道症状,X线胸片和纤支镜检查无异常病人7例做对照,进行支气管—肺泡灌洗和支气管—肺泡灌洗液(BALF)的细胞学检查。结果:BALF细胞总数:研究组均高于对照组;细胞分类计数:致纤维化肺泡炎嗜中性粒细胞(21.3±20.2%),明显高于对照组(P<0.01);过敏性肺泡炎和肺结节病淋巴细胞,均明显高于对照组(P<0.01)。认为BALF细胞检测对弥漫性间质性肺疾病的诊断、鉴别诊断及分类具有一定临床意义。
BAL and cytological examination of BALF in 48 patients with diffuse interstitial lung diseases based on chest roentgenogram were studied, with 7 cases which manifested respiratory symptoms without any abnormalities on both chest roentgenogram and fibroptic bronchoscopy as a control gronp.The total cell counts of BALF in the studied group were all higher than these of the control group (0.31×10~6/ml), and differential counts of the cells showed that nentrophilic granucytosis was found in patients with fibrosing alvcolitis, which accounted for 21.3±20.2% and was significantly higher than that of control group (1.8±1.4%) (P<0.01). On the contrary, lymphcoytosis in patients with allergic alveclitis and in those patients with sarcoidosis accounted for 29.0±2.5%, 30.0±16.9% respectively. which was also higher than that of the control (3.0±1.6%)(P<0.01). However the differential cell counts of alveolar carcinoma showed no significance between the studied and control group (P>0.05). The factors influecing quality control both in BAL and cytological examination were evaluated and the results of diseases in clinical significance were discussed.
出处
《中国医科大学学报》
CAS
CSCD
1989年第5期379-382,388,共5页
Journal of China Medical University
关键词
肺泡炎
支气管
细胞学
肺泡
灌洗
broncho-alveolar lavage
alvcolitis
sarcoidosis
