肺结节病5例报道并文献复习  

Pulmonary sarcoidosis:5 cases reported and literature review

作　　者：顾国忠[1] 孙平军[2] 才立萍[1] 

机构地区：[1]大庆油田总医院(大庆市第一医院)呼吸科,黑龙江大庆163001 [2]大庆龙南医院呼吸科,黑龙江大庆163001

出　　处：《中国现代医生》2013年第23期149-150,共2页China Modern Doctor

摘　　要：目的探讨肺结节病的临床特点和诊断方法。方法回顾性分析我院自2001年3月～2012年11月经病理学确诊结节病患者5例的临床及影像学资料。结果男3例,女2例,年龄35～56岁。2例有胸闷气促,另3例无临床症状。胸部X线、CT扫描检查显示:肺门、纵隔淋巴结肿大,2例伴两肺病变。经气管镜或纵隔镜纵隔淋巴结活检是临床确诊主要方法。结论结节病临床表现无特异性,部分有胸闷气短症状,临床易误诊,对肺门及纵隔淋巴结肿大的可疑病例,应尽早行病理学检查以明确诊断。Objective To study the clinical characteristics of pulmonary sarcoidosis and diagnostic methods. Methods Retrospective analysis of the clinical and radiographic material of 5 pathology diagnosed nodular patients from Mar 2001 to Nov 2012. Results Three cases of male, while 2 cases of female, between 35 and 56 years old. 2 cases had chest distress, but the other 3 cases had no chnical symptoms. The results of the chest X-ray and the CT examination showed hilar and （or） mediastinal lymphoademopathy with 2 cases of diffusional lesion in bilateral lungs. The main clin- ical diagnosis method is the mediastinal nodes biopsy, via bronchoscope or mediastinoscope. Conclusion Sarcoidosis defies diagnosis, since it has no specific clinical manifestation. As to the suspicious cases of hilar and （or） mediastinal lymphoademopathy, one should take pathological examination as early as possible in order to make a diagnosis.

关 键 词：结节病 诊断 

分 类 号：R563.9[医药卫生—呼吸系统]