支气管哮喘合并肺癌26例患者临床特点分析  

Clinical analysis of 26 hospitalised bronchial asthmatic patients complicated with lung cancer*

作　　者：雷伟[1] 陈延斌[1] 王昌国[1] 黄建安[1] 

机构地区：[1]苏州大学附属第一医院呼吸内科,苏州215006

出　　处：《南通大学学报（医学版）》2011年第5期347-349,共3页Journal of Nantong University(Medical sciences)

基　　金：苏州市科技发展计划(SS0706)

摘　　要：目的:总结支气管哮喘合并肺癌患者的临床特点,为早期诊断和治疗提供帮助。方法:对我院收治的26例支气管哮喘合并肺癌患者的临床特征、诊断、治疗和预后等资料进行回顾性分析。结果:≥60岁者占73.1%;明确合并肺癌诊断时间平均约5.0个月;CT主要表现为肺部团块、结节样病灶,片状或实变阴影;明确诊断主要依据气管镜;病理类型:腺癌38.6%,鳞癌26.9%,小细胞肺癌26.9%;73.1%的患者为肺癌晚期,中位生存期约8.0个月。结论:支气管哮喘合并肺癌患者大多数处于肺癌晚期,预后差,胸部CT是这类患者早期诊断、改善预后的有效手段。Objective： To summarize the clinical features of the hospitalised bronchial asthmatic patients complicated with lung cancer,provide some help for early diagnosis and treatment of the patients.Methods： Retrospectively analysed the clinical characteristics of 26 bronchial asthmatic patients complicated with lung cancer hospitalised from 2006 to 2011.Results： The age of 73.1% patients was more than 60 years old.The average time of diagnosed complicated with lung cancer was about 5 months.The mainly pathological types of the patients were adenocarcinoma（38.6%）,squamous cell carcinoma（26.9%） and small cell lung cancer（26.9%）.When diagnosed with lung cancer,73.1% of the patients were at advanced stage.The median survival time of the patients was 8.0 months.Conclusion： The bronchial asthma was the risk factors for lung cancer.Most of the asthmatic patients diagnosed complicated with lung cancer were at advanced stage.The prognosis was very poor.We should attach great importance to the possibility of asthmatic patients complicated with lung cancer.Chest CT was an effective means to increase early diagnosis and improve the prognosis for these patients.

关 键 词：支气管哮喘 肺癌 老年性哮喘 早期诊断 

分 类 号：R562.25[医药卫生—呼吸系统]