隐源性机化性肺炎一例并文献复习  

Cryptogenic organizing pneumonia： a case report and literature review

作　　者：程真顺[1] 杨炯[1] 林宇辉[1] 叶燕青[1] 刘冰[1] 张涵[1] 

机构地区：[1]武汉大学中南医院呼吸内科,430071

出　　处：《中华全科医师杂志》2010年第7期489-491,共3页Chinese Journal of General Practitioners

摘　　要：结合我科1例隐源性机化性肺炎（COP），复习2003年至2008年国内COP文献，了解目前国内COP的临床表现及诊断现状。结果显示COP的主要临床表现是发热、咳嗽、呼吸困难，影像学多见实变和磨玻璃样变，易误诊为肺炎；目前主要的诊断手段是肺活组织检查；其主要的病理变化是呼吸性细支气管和小气道、肺泡腔内息肉状肉芽组织增生。We reported a case of cryptogenic organizing pneumonia （COP） who was admitted to the hospital in July 2008 and reviewed the Chinese literature of COP from 2003 to 2008. The most common symptoms of COP are fever, cough and exertional dyspnea. The imaging characteristics of COP are similar to those of pneumonia, therefore is often misdiagnosed as pneumonia with a high misdiagnosis rate. Lung biopsy is the main method for pathological diagnosis; polypoid growth of granulation tissue was noted within respiratory bronehioles, small airways and alveolar spaces.

关 键 词：肺炎 诊断 

分 类 号：R563.1[医药卫生—呼吸系统]