隐源性机化性肺炎1例及文献复习  

A case of cryptogenic organizing pneumonia and literature review

作　　者：刘凤娇 吴应行 王燕 符丹丹 LIU Fengjiao;WU Yinghang;WANG Yan;FU Dandan(Department of Respiratory Medicine,The Second Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou,563006,China)

机构地区：[1]遵义医科大学第二附属医院呼吸内科,贵州遵义563006

出　　处：《安徽医药》2022年第10期1993-1996,I0003,共5页Anhui Medical and Pharmaceutical Journal

摘　　要：目的掌握隐源性机化性肺炎(cryptogenic organizing pneumonia,COP)的临床特点,提高临床医生对COP的诊治水平,避免误诊,达到精准诊治。方法收集遵义医科大学第二附属医院呼吸内科2020年2月27日收治酷似肺癌的1例COP临床特点、影像学资料并进行回顾性分析与研究。结果该例影像学表现与肺癌重叠,经2次非同一部位经皮肺穿刺活检,病理结果均提示机化性肺炎,排除其他继发性因素后考虑COP,经糖皮质激素治1个月病灶基本吸收。结论COP的诊疗需临床-影像-病理三方密切合作、综合分析,结合临床资料和放射学专业知识,并进行活检获得组织病理学证据。Objective To master the clinical characteristics of cryptogenic organizing pneumonia(COP),improve clinicians'diagnosis and treatment level,avoid misdiagnosis,and achieve accurate diagnosis and treatment.Methods The clinical features and imaging data of a case of COP that resembled lung cancer admitted to the Department of Respiratory Medicine of the Second Affiliated Hospital of Zunyi Medical University on February 27,2020 were collected,retrospectively analyzed and studied.Results In this case,the imaging findings of the patient overlapped with lung cancer.After 2 times of lung tissues biopsy at different parts,the pathological results showed that the patients had organizing pneumonia.After excluding other secondary factors,COP was considered.Following treatment with glucocorticoid for 1 month,the lesions were basically absorbed.Conclusions The diagnosis and treatment of COP requires close cooperation and comprehensive analysis of Clinical-Imaging-Pathology.Combined with clinical data and radiological expertise,biopsy is needed to obtain histopathological evidence.

关 键 词：隐源性机化性肺炎 肺癌 肺组织活检 肉芽组织 糖皮质激素 

分 类 号：R563.1[医药卫生—呼吸系统]