肺泡蛋白沉着症合并肺结核1例报道并文献复习

摘要/Abstract

摘要： 目的　探讨肺泡蛋白沉着症合并肺结核的发病机制,诊断及治疗方法。方法回顾性分析1例肺泡蛋白沉着症合并肺结核患者临床资料并复习相关文献。结果患者表现为咳嗽、咳痰、活动后气促、潮热、盗汗,在经纤支镜肺活检等检查后诊断为肺泡蛋白沉着症合并肺结核,给予抗结核治疗及经纤支镜肺泡灌洗后病情明显改善。结论肺泡蛋白沉着症合并肺结核的情况应引起重视,诊断可依据临床表现、影像学、肺功能、纤支镜活检结果等综合判断。主要治疗方法为抗结核治疗及肺泡灌洗。

关键词: 肺泡蛋白沉着症, 结核

Abstract: Objective To investigate the pathogenesis, diagnosis and treatment of pulmonary alveola proteinosis with pulmonary tuberculosis. Methods The clinical data of a case of pulmonary alveola proteinosis with pulmonary tuberculosis were retrospectively analyzed,and literature review about this case was conducted. Results A female patient of 19 years old presented acough, expectoration,dyspnea on exertion, hectic fever,night sweating. The patient was diagnosed as pulmonary alveolar proteinosis with pulmonary tuberculosis through transbronchial biopsy etc and improved after treated with antituberculous drugs and lung lavage. Conclusion The condition of pulmonary alveolar proteinosis complicated with tuberculosis should be attached with importance. The diagnosis is supported by the combination of clinical manifestation, imaging, pulmonary function, transbronchial biopsy etc. The available treatment is antituberculous chemotherapy and lung lavage.

Key words: pulmonary alveolar proteinosis, pulmonary tuberculosis

尹万红,陈雪融,朱辉,苏学英,赵丽娟. 肺泡蛋白沉着症合并肺结核1例报道并文献复习[J]. 中国防痨杂志, 2008, 30(5): 439-442.

Yin Wanhong¹, Chen Xuerong, Zhu Hui, et al.. Pulmonary Alveolar Proteinosis with Pulmonary Tuberculosis:A Case Report and Literature Review[J]. Chinese Journal of Antituberculosis, 2008, 30(5): 439-442.

参考文献

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