局灶性肿块样肺炎20例临床诊断与鉴别  

Clinical radiographic features of focal tumour-like pneumonia

作　　者：徐月兰[1] 徐红[1] 

机构地区：[1]安徽省蚌埠市第三人民医院呼吸内科,233000

出　　处：《淮海医药》2006年第1期13-14,共2页Journal of Huaihai Medicine

摘　　要：目的 探讨局灶性肿块样肺炎临床诊断与鉴别。方法 回顾性分析本院1998～2004年间20例局灶性肿块样肺炎患者的临床表现、影像学特征及治疗结果以探讨局灶性肿块样肺炎临床诊断与鉴别。结果 20例局灶性肿块样肺炎，其中包括5例早期误诊为肺癌的患者，抗感染治疗2周后，19例临床症状基本缓解，胸片显示病灶有不同程度的吸收．随访到第4～6周，胸片显示病灶完全吸收。1例在抗感染治疗2周后临床症状无明显缓解，胸片显示病灶吸收不佳，建议外科手术．病理检查诊断为慢性炎性。结论 局灶性肿块样肺炎在临床症状和早期影像学表现与其他多种肺部疾病相似，不易鉴别．但结合痰培养，纤支镜检查厦抗感染治疗前后临床表现和影像学变化特点的对比可提高诊断率。Objective To discuss the clinical discrimination and diagnosis of focal tumour-like pneumonia. Methods The clinical,radiographic features and treatments of 20 cases of acute focal tumour like pneumonia in our hospital from 1998 to 2004 were analyzed and the clinical discrimination and diagnosis of the disease were explored. Results 20 patients. 5 of whom had been previously misdiagnosed as lung cancer,were treated by anti-biotics for 2 weeks. 19 of them were alleviated clinically and the chest films showed absorption to some degree in the focus. After a 4～6-week follow-up ,the focus was totally sbsorbed. Only one clinical symptom was not effective after a 2-week anti-biotics treatment and the focus was not well absorbed. Conclusion Similar to many other kinds of lung diseases in clinical symptom and early image ,it is rather difficult to discriminate and diagnose the focal tumuur-like pneumonia. Through phlegm cultivation,mirror check,anti-biotics treatment and comparison of image changes in radiugragh,the diagnosing rate can be improved.

关 键 词：局灶性肿块样肺炎 周围型肺癌 诊断 鉴别 

分 类 号：R563.19[医药卫生—呼吸系统]