摘要
目的:通过临床病例分析,了解脂质性肺炎的临床表现、影像学和病理学特点。方法:回顾3例脂质性肺炎患者的临床资料。结果:慢性病程,主要临床症状为咳嗽、咳痰、痰中带血、胸痛,体征较少,多在常规体检发现肺部占位病变而就诊。胸部影像学主要表现为胸部肿块影,部分伴有肺门、纵隔淋巴结肿大。2例经手术切除后肺组织的病理学明确诊断,1例联合纤维支气管镜、病理学的主要特点为肺泡腔内充满大量泡沫细胞。结论:脂质性肺炎的临床表现和影像学表现缺乏特异性,宜行组织病理学检查确诊,若内科保守治疗无效,有必要行局部肺叶切除。
Objective To evaluate the clinical radiological and pathologicalm an ifestations of lipoid pneumonia, to improve the di- agnosis of this rare disease. Methods Retrospective analysis of clinical data of 3cases with confirmed lipoid pneumonia was conducted. Results There was 2 male andl female patients with an average age of 36 years ranging from 28 to 50 years. Lipoid pneumonia presen- ted a chronic clinical course with few physical signs. The main complaints included cough, expectation, bloody phlegm and chest pa in. Finding of chest mass in routine physical examination was also a common reason for doctor visiting. Radiological features o f lipoid pneumonia could be non - specific, usually presenting mass shadow in the chest, with lymph nodes enlargement in some cases. One cases were diagnosed by the histopathology o f pulmonary tissue and one case was diagnosed through a comb ination of bronchoscopy, thoraeoscopy and CT - guided percutaneous lung puncture biopsy. Histopathological finding showed accumulation of foam y macropha- ges in the alveolar spaces. Conclusions The clinical and radiological manifestations of lipoid pneum on ia a re non - specific. His- topatho log ical ex am ination for diagno sis is essential If them edical therapy is not responsive, pulmonary lobectomy might be neces- sary.
出处
《中国民族民间医药》
2013年第24期160-161,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
脂质性肺炎
泡沫细胞
诊断
Lipoid pneumonia
Foamy macrophage
Diagnosis
