肺泡蛋白沉积症二例临床分析  

Clinical analysis of two cases of pulmonary alveolar proteinosis and literature review

作　　者：黄奕娟[1] 楼雅芳[1] 丁旭春[1] 石亚杰[1] 付骞[1] 

机构地区：[1]浙江中医药大学附属广兴医院呼吸内科,杭州310006

出　　处：《中华全科医师杂志》2014年第3期209-210,共2页Chinese Journal of General Practitioners

摘　　要：结合2例肺泡蛋白沉积症患者的诊治经过复习相关文献,对肺泡蛋白沉积症的临床表现,病理结果及治疗进行分析.认为肺泡蛋白沉积症常见症状为渐进性呼吸困难伴咳嗽,咳痰,典型胸部CT表现为两肺浸润阴影,伴地图征和铺路石征,确诊靠肺活组织病理和PAS染色.及时诊断、全肺灌洗是关键.Two cases of pulmonary alveolar proteinosis were reported with a literature review. The epidemiologic, clinical and diagnostic aspects of pulmonary alveolar proteinosis were discussed. The common clinical symptom was progressive dyspnea, cough and expectoration. And its typical finding of computed tomography was pulmonary infiltration with map or paving stone sign. A definite diagnosis was made by lung biopsy and PAS dyeing. Timely diagnosis and whole lung lavage are essential.

关 键 词：肺泡蛋白沉积症 支气管肺泡灌洗 

分 类 号：R563.9[医药卫生—呼吸系统]