脱屑性间质性肺炎一例并文献复习
居阳;柯会星;钟雪锋;方芳;李燕明
【期刊名称】《中华结核和呼吸杂志》 【年(卷),期】2017(040)010
【摘要】Objective To analyze the clinical features,diagnosis,and treatment of desquamative interstitial pneumonia(DIP).Methods The clinical manifestation,radiology,and pathology were analyzed in one patient with DIP in Beijing Hospital following review of the literatures.Results The patient was a 55-year-old male presented with cough,shortness of breath and hypoxemia.Previous history of smoking and exposure to a variety of metals.ACT scan of the chest revealed diffuse ground-glass densities.A diagnosis of desquamative interstitial pneumonia (DIP) was confiraed by a thoracoscopic open lung biopsy.After treatment with hormone,the condition improved.A total of 66 cases were included in this study,the smoking groupof 20 cases,non-smokers of 46 cases.The smoking group was older than the non-smoking group [(47.5 ± 12.1) years vs (26.1 ± 22.5) years];the present of chest pain,shortness of breath (4/20 vs 0/46;8/20 vs 3/46) was higher in smoking group than in non-smoking group,and ground glass opacity in the chest image(15/20 vs 20/46) was also higher in smoking group than in non-smoking group.Pulmonary function showed more diffuse dysfunction(12/14 vs 6/13) in smoking group than in non-smoking
脱屑性间质性肺炎一例并文献复习
