急性嗜酸粒细胞性肺炎一例诊治分析  

Diagnosis and Treatment of Acute Eosinophilic Pneumonia: One Case Report

作　　者：毕贞水[1] 

机构地区：[1]曲阜师范大学医院,山东省曲阜市273165

出　　处：《中国全科医学》2015年第11期1346-1348,共3页Chinese General Practice

摘　　要：急性嗜酸粒细胞性肺炎是嗜酸粒细胞性肺疾病的一种少见类型,发病率较低,临床表现多样,外周血嗜酸粒细胞迟发性增高是其主要特点之一,也是早期不易确诊的主要原因。本文报道1例急性嗜酸粒细胞性肺炎患者,其早期经多项检查未能确诊,后行经皮肺穿刺活检术诊断为急性嗜酸粒细胞性肺炎。此时,患者外周血嗜酸粒细胞增高明显。建议对于急性发病,临床主要表现为咳嗽、咳痰,全身症状不明显,而胸片或双肺CT呈实变性阴影者,应多次复查外周血细胞,必要时可采用电子支气管镜结合支气管肺泡灌洗液行嗜酸粒细胞计数检查,以尽早确诊。Acute eosinophilic pneumonia（ AEP） is a rare type of low incidence of eosinophilic pneumonia diseases,which have various manifestations. The delayed increase of peripheral blood eosinophilic granulocytes is one of its main features and the main reason of its uneasy diagnosis. This paper analyzes the diagnostic process of an AEP patient,who failed to get a definite diagnosis after a number of examinations and was diagnosed as AEP after percutaneous lung biopsy. At this point,peripheral blood eosinophils increased significantly. Its acute onset manifests cough, sputum clinically. In patients with inconspicuous systemic symptoms, chest X-ray or lung CT presented real shadow. The peripheral blood cells should be rechecked for several times and if necessary,electronic bronchoscope combined with bronchialveolar lavage fluid can be used to carry out eosinophilic granulocyte counts in order to make a diagnosis as early as possible.

关 键 词：肺嗜酸粒细胞增多 嗜酸粒细胞 诊断 迟发 

分 类 号：R563.1[医药卫生—呼吸系统]