肺癌与慢性阻塞性肺疾病共病的临床诊疗浅析  

Brief analysis of diagnosis and treatment of lung cancer complicated by chronic obstructive pulmonary disease

作　　者：沈盼晓 秦茵茵 周承志 Shen Panxiao;Qin Yinyin;Zhou Chengzhi(Guangzhou Institute of Respiratory Health,State Key Laboratory of Respiratory Diseases,National Clinical Research Center for Respiratory Diseases,Department of Pulmonary and Critical Care Medicine,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]呼吸疾病国家重点实验室,国家呼吸系统疾病临床医学研究中心,国家呼吸医学中心,广州呼吸健康研究院,广州医科大学附属第一医院呼吸与危重症医学科,广州510120

出　　处：《中华结核和呼吸杂志》2024年第11期1022-1027,共6页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：肺癌和慢性阻塞性肺疾病具有共同的危险因素和发病机制,是一种常见的共病,互为因果;目前诊疗未有统一标准,该类患者预后不佳。肺功能检测、定期低剂量胸部螺旋CT检查能提高该共病的诊断率。诊疗过程中应充分考虑"共病兼治、癌肺同治"原则。Lung cancer and chronic obstructive pulmonary disease share common risk factors and the same pathophysiological mechanisms,which are a common comorbidities and interact with each other.At present,there is no universal standard for diagnosis and treatments,and these patients have a poor prognosis.Pulmonary function detection and regular low-dose spiral CT can improve the diagnosis rate of the comorbid disease.The principle of"co-morbidities,co-treatment of cancer and lung disease"should be fully considered in the process of diagnosis and treatment.

关 键 词：肺功能检测 慢性阻塞性肺疾病 共病 临床诊疗 危险因素 诊疗过程 胸部螺旋CT 诊断率 

分 类 号：R734.2[医药卫生—肿瘤] R563.9[医药卫生—临床医学]