| 刘凤娇,吴应行,王燕,等.隐源性机化性肺炎 1例及文献复习[J].安徽医药,2022,26(10):1993-1996. |
| 隐源性机化性肺炎 1例及文献复习 |
| A case of cryptogenic organizing pneumonia and literature review |
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| DOI：10.3969/j.issn.1009-6469.2022.10.020 |
| 中文关键词: 隐源性机化性肺炎 肺癌 肺组织活检 肉芽组织 糖皮质激素 |
| 英文关键词: Cryptogenic organizing pneumonia Lung cancer Lung biopsy Granulation tissue Glucocorticoid |
| 基金项目: |
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| 中文摘要: |
| 目的掌握隐源性机化性肺炎( cryptogenic organizing pneumonia，COP)的临床特点，提高临床医生对 COP的诊治水平，避免误诊，达到精准诊治。方法收集遵义医科大学第二附属医院呼吸内科 2020年 2月 27日收治酷似肺癌的 1例 COP临床特点、影像学资料并进行回顾性分析与研究。结果该例影像学表现与肺癌重叠，经 2次非同一部位经皮肺穿刺活检，病理结果均提示机化性肺炎，排除其他继发性因素后考虑 COP，经糖皮质激素治 1个月病灶基本吸收。结论 COP的诊疗需临床 -影像-病理三方密切合作、综合分析，结合临床资料和放射学专业知识，并进行活检获得组织病理学证据。 |
| 英文摘要: |
| Objective To master the clinical characteristics of cryptogenic organizing pneumonia (COP), improve clinicians' diagno.sis and treatment level , avoid misdiagnosis, and achieve accurate diagnosis and treatment.Methods The clinical features and imag.ing data of a case of COP that resembled lung cancer admitted to the Department of Respiratory Medicine of the Second Affiliated Hos.pital of Zunyi Medical University on February 27, 2020 were collected , retrospectively analyzed and studied.Results In this case, theimaging findings of the patient overlapped with lung cancer. After 2 times of lung tissues biopsy at different parts , the pathological re.sults showed that the patients had organizing pneumonia. After excluding other secondary factors, COP was considered. Following treat.ment with glucocorticoid for 1 month, the lesions were basically absorbed.Conclusions The diagnosis and treatment of COP requires close cooperation and comprehensive analysis of Clinical-Imaging-Pathology. Combined with clinical data and radiological expertise, bi. opsy is needed to obtain histopathological evidence. |
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