CAJ | 학술논문

结合我科1例隐源性机化性肺炎(COP),复习2003年至2008年国内COP文献,了解目前国内COP的临床表现及诊断现状.结果显示COP的主要临床表现是发热、咳嗽、呼吸困难,影像学多见实变和磨玻璃样变,易误诊为肺炎;目前主要的诊断手段是肺活组织检查;其主要的病理变化是呼吸性细支气管和小气道、肺泡腔内息肉状肉芽组织增生.
결합아과1례은원성궤화성폐염(COP),복습2003년지2008년국내COP문헌,료해목전국내COP적림상표현급진단현상.결과 현시COP적주요림상표현시발열、해수、호흡곤난,영상학다견실변화마파리양변,역오진위폐염;목전주요적진단수단시폐활조직검사;기주요적병리변화시호흡성세지기관화소기도、폐포강내식육상육아조직증생.
We reported a case of cryptogenic organizing pneumonia ( COP) who was admitted to the hospital in July 2008 and reviewed the Chinese literature of COP from 2003 to 2008. The most common symptoms of COP are fever, cough and exertional dyspnea. The imaging characteristics of COP are similar to those of pneumonia, therefore is often misdiagnosed as pneumonia with a high misdiagnosis rate. Lung biopsy is the main method for pathological diagnosis; polypoid growth of granulation tissue was noted within respiratory bronchioles, small airways and alveolar spaces.