CAJ | 학술논문

　　目的了解间质性肺疾病的临床特点、影像学特征和病理类型。方法对18例间质性肺疾病患者的临床表现、胸CT或高分辨率CT（HRCT）、肺组织病理特点进行分析。结果18例患者均有咳嗽，其中12例伴有呼吸困难，4例肺内可闻及湿啰音，3例有杵状指趾。胸CT或HRCT示：15例以磨玻璃影为主，2例弥散性细小结节影，1例多发实变影。据病理改变，18例间质性肺炎包括非特异性6例，急性3例，淋巴细胞性1例，未分化型1例，隐源性机化性肺炎2例，呼吸性细支气管炎伴间质性肺炎1例，弥散性泛细支气管炎2例，肺泡微石症、类脂性肺炎各1例。结论间质性肺疾病是一组异质性疾病，临床表现以咳嗽、呼吸困难为主，胸部影像学以磨玻璃影为主，不同的间质性肺疾病病理表现各异。
　　목적료해간질성폐질병적림상특점、영상학특정화병리류형。방법대18례간질성폐질병환자적림상표현、흉CT혹고분변솔CT（HRCT）、폐조직병리특점진행분석。결과18례환자균유해수，기중12례반유호흡곤난，4례폐내가문급습라음，3례유저상지지。흉CT혹HRCT시：15례이마파리영위주，2례미산성세소결절영，1례다발실변영。거병리개변，18례간질성폐염포괄비특이성6례，급성3례，림파세포성1례，미분화형1례，은원성궤화성폐염2례，호흡성세지기관염반간질성폐염1례，미산성범세지기관염2례，폐포미석증、류지성폐염각1례。결론간질성폐질병시일조이질성질병，림상표현이해수、호흡곤난위주，흉부영상학이마파리영위주，불동적간질성폐질병병리표현각이。
Objective To understand the clinical characteristics of interstitial lung disease, imaging characteristics and pathologic types. Methods To diffuse pulmonary disease in 18 patients clinical manifestations, Chest CT and high resolution CT (HRCT) and lung tissue pathology characteristic carries on the analysis.Results Clinical manifestations:18 cases were cough, 12 cases with have difficulty breathing, audible and wet rale in the 4 cases of lungs, 3 cases with finger clubbing toe. Chest CT and HRCT shows:15 cases with ground glass shadow is given priority to,2 cases of diffuse small nodular shadows, 1 case of multiple consolidation shadows. According to the pathological changes, 18 cases of interstitial pneumonia included in 6 cases of nonspecific interstitial pneumonia (NSIP) and acute interstitial pneumonia (AIP) in 3 patients, hidden source sex machine pneumonia in 2 cases, 1 lymphocytic interstitial pneumonia, respiratory bronchiolitis associated with interstitial pneumonia (RBILD) in 1 case, undifferentiated type, 1 case of interstitial pneumonia, 4 cases including diffuse extensive bronchiolitis in 2 cases, alveolar micro stone disease in 1 case, lipid pneumonia in 1 case. Conclusion Interstitial lung disease is a group of heterogeneous diseases. Lack of characteristic clinical manifestation, main performance for cough, difficulty breathing. Lung imaging sample ground glass shadow as the main change. Different interstitial lung disease pathology behave differently.