国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
6期
424-428,封3
,共6页
显微镜下多血管炎%抗中性粒细胞胞浆抗体%血管炎
顯微鏡下多血管炎%抗中性粒細胞胞漿抗體%血管炎
현미경하다혈관염%항중성립세포포장항체%혈관염
Microscopic polyangiitis%Antineutrophil cytoplasmic antibody%Vasculitis
目的 探讨显微镜下多血管炎(MPA)肺部受累患者的临床特点,提高对MPA的认识和诊断水平.方法 对我院确诊的2例MPA进行回顾性分析.结果 2例患者均以肺部症状就诊,伴肾脏受累.p-ANCA阳性.经过激素、环磷酰胺治疗临床症状缓解.结论 MPA临床表现无特异性,大多具有多脏器受累的特点,易误诊,ANCA对MPA的诊断有重要价值.激素及环磷酰胺联合治疗疗效佳.
目的 探討顯微鏡下多血管炎(MPA)肺部受纍患者的臨床特點,提高對MPA的認識和診斷水平.方法 對我院確診的2例MPA進行迴顧性分析.結果 2例患者均以肺部癥狀就診,伴腎髒受纍.p-ANCA暘性.經過激素、環燐酰胺治療臨床癥狀緩解.結論 MPA臨床錶現無特異性,大多具有多髒器受纍的特點,易誤診,ANCA對MPA的診斷有重要價值.激素及環燐酰胺聯閤治療療效佳.
목적 탐토현미경하다혈관염(MPA)폐부수루환자적림상특점,제고대MPA적인식화진단수평.방법 대아원학진적2례MPA진행회고성분석.결과 2례환자균이폐부증상취진,반신장수루.p-ANCA양성.경과격소、배린선알치료림상증상완해.결론 MPA림상표현무특이성,대다구유다장기수루적특점,역오진,ANCA대MPA적진단유중요개치.격소급배린선알연합치료료효가.
Objective To explore the clinical features of microscopic polyangiitis (MPA)complicated with pulmonary involvement in order to elevate realization about MPA and improve diagnositic level.Methods Re-analyzing the two MPA cases in our hospital.Results Both of the two patients came with lung symptom,accompanied by involved kidney trouble.P-ANCA was positive.Symptomatic remission was acquired after the treatment with glucocorticoid combined cyclophosphamide.Conclusions The clinical manifestation of MPA has no specificity,mostly accompanied by involved multiviscera trouble,being subject to misdiagnosis.Antineutrophil cytoplasmic antibody(ANCA) will be great value to MPA's diagnosis.Glucocorticoid combined cyclophosphamide is effective in the treatment of MPA.
