摘要
目的 分析具有气道病变的结节病的临床表现与实验室检查特点。方法 回顾性分析 1989年 4月～ 2 0 0 4年 3月行支气管镜检查的 2 2例结节病患者的临床资料 ,比较有气道粟粒状结节改变 (A组 )和无气道粟粒状改变 (B组 )的结节病患者的临床与实验室特点。结果 A组患者中胸闷与浅表淋巴结肿大较B组多见 ;纤维支气管镜下A组患者无黏膜增厚表现 ;肺功能检查及其他实验室指标两组无明显差异。结论 结节病气道粟粒状结节改变与其临床症状、X线表现、肺功能改变及结节病分期无明显相关性 。
Objective To analyse the clinical manifestation and the laboratory features of the sarcoidosis patients with endobronchial miliary lesion.Methods 22 patients with sarcoidosis from April 1989 to Mar 2004 were reviewed.Results Endobronchial military lesions were found in 10 patients among which chest tightness and peripheral lymph nodes enlargement were more common.No endobronchial pachynsis was observed by fibrobronchoscope examination in patients with endobronchial lesions.There was no significant differences in pulmonary function testing and other laboratory examinations between the patients with and without endobronchial lesions.Conclusions The endobronchial military lesions is not greatly related with symptoms,pulmonary function changes, X-ray manifestations and disease stages in sarcoidosis.Biopsy by fiberoptic bronchoscope is essential to confirm the diagnosis of sarcoidosis.
出处
《中国呼吸与危重监护杂志》
CAS
2004年第4期223-225,共3页
Chinese Journal of Respiratory and Critical Care Medicine
