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-  2017 

慢性嗜酸性粒细胞性肺炎五例临床分析

DOI: doi:10.7507/1671-6205.201602005

Keywords: 慢性嗜酸性粒细胞性肺炎, 诊断, 治疗, 病理

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Abstract:

目的总结慢性嗜酸性粒细胞性肺炎的临床特点、诊断及治疗方法,提高诊治水平。 方法回顾性分析 2011 年 1 月至 2015 年 1 月 5 例慢性嗜酸性粒细胞性肺炎患者的临床资料。 结果患者中男 2 例,女 3 例。合并过敏性鼻炎 1 例,合并支气管哮喘 2 例,具有过敏史者 2 例,合并变应性皮疹 1 例。主要临床表现为发热、咳嗽、咯痰、呼吸困难和胸痛,常伴乏力、纳差和体重下降。主要体征为两肺湿啰音、散在哮鸣音,亦可闻及爆裂音。5 例均有外周血嗜酸性粒细胞计数升高,嗜酸性粒细胞百分比升高,支气管肺泡灌洗液中嗜酸性粒细胞百分比明显升高。主要影像表现为两肺浸润影,斑片实变影和磨玻璃影。5 例均接受糖皮质激素治疗。随访中病情复发 1 例。 结论慢性嗜酸性粒细胞性肺炎起病隐匿,临床表现缺乏特异性,常合并哮喘及变应性皮炎,多数患者外周血和肺泡灌洗液嗜酸性粒细胞数明显升高,典型影像表现为周边和胸膜下分布为主的肺浸润影

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