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外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (2): 115-117.

• 论著 • 上一篇    下一篇

特发性肺纤维化一例

闫利娟1,秦芸芸2   

  1. 1. 洛阳市第二中医院病理科
    2. 上海兰卫临床医学检验所
  • 收稿日期:2016-01-28 修回日期:2016-02-16 出版日期:2016-06-28 发布日期:2016-09-13
  • 通讯作者: 秦芸芸 E-mail:493408721@qq.com

Idiopathic pulmonary fibrosis: a case report

  • Received:2016-01-28 Revised:2016-02-16 Online:2016-06-28 Published:2016-09-13

摘要: 目的 探讨特发性肺纤维化(IPF)的临床和病理特点;方法 对一例IPF进行临床-影像-病理诊断,并探讨其临床病理特点;结果 患者为老年男性,病情呈进行性加重,肺功能显示限制性通气障碍和弥散功能降低 ,影像和病理具有普通型间质性肺炎的特点;结论 IPF的病理诊断需要密切结合临床和影像学。

关键词: 特发性肺纤维化, 特发性间质性肺炎, 诊断

Abstract: Objective To investigate the clinical features of idiopathic pulmonary fibrosis (IPF). Methods One patient with idiopathic pulmonary fibrosis was diagnosed by integrating clinical, radiologic and pathologic information and clinical data of this case was analyzed. Results The patient described in the present case was a 70-year-old male who presented with 2 years history of progressive dyspnea. Pulmonary function testing revealed severe restrictive ventilator impairment and the diffusing capacity for carbon monoxide was reduced. The histological examination showed a pattern of usual interstitial pneumonia (UIP). Conclusions The pathological diagnosis of IPF should be identified combing clinical features and findings on lung HRCT.

Key words: Idiopathic pulmonary fibrosis, Idiopathic interstitial pneumonia, Diagnosis