CAJ | 학술논문

目的对肺结节病合并胸腔积液的诊治进行分析.方法对我院2000年1月至2012年7月期间收治的13例肺结节病合并胸腔积液患者的病历资料进行回顾性分析.结果 13例中3例为Ⅰ期,9例为Ⅱ期,1例为Ⅲ期；8例曾误诊为结核性胸膜炎,2例曾误诊为肺癌.13例口服醋酸泼尼松片0.5～1.0 rmg/(kg·d)并逐渐减量治疗.治疗1个月后,5例胸腔积液消失,4例明显减少；3个月后13例患者胸腔积液均消失,3例留有胸膜肥厚.结论肺结节病出现胸腔积液的机制不明,有症状的伴有胸腔积液的结节病患者需要行激素治疗.结节病并胸腔积液确诊依赖胸膜、肺、支气管活检,结合临床、影像及实验室检查,可降低误诊率.
목적 대폐결절병합병흉강적액적진치진행분석.방법 대아원2000년1월지2012년7월기간수치적13례폐결절병합병흉강적액환자적병력자료진행회고성분석.결과 13례중3례위Ⅰ기,9례위Ⅱ기,1례위Ⅲ기；8례증오진위결핵성흉막염,2례증오진위폐암.13례구복작산발니송편0.5～1.0 rmg/(kg·d)병축점감량치료.치료1개월후,5례흉강적액소실,4례명현감소；3개월후13례환자흉강적액균소실,3례류유흉막비후.결론 폐결절병출현흉강적액적궤제불명,유증상적반유흉강적액적결절병환자수요행격소치료.결절병병흉강적액학진의뢰흉막、폐、지기관활검,결합림상、영상급실험실검사,가강저오진솔.
Objective To analyze the diagnosis and treatment of pulmonary sarcoidosis with pleural effusion.Methods All 13 cases with pulmonary sarcoidosis with pleural effusion of in our hospital during the period of Jan.2000 to July 2012 were analyzed.Results There were 3 cases in stage Ⅰ,9 cases in stage Ⅱ and 1 case in stage Ⅲ.Among them 8 cases were misdiagnosed as tuberculous pleurisy and 2 patients were misdiagnosed as lung cancer.All 13 cases were taken orally by prednisone acetate tablets 0.5-1.0 mg/(kg · d),and the dose was gradually reduced.After treatment for one month,pleural effusion of 5 cases disappeared,pleural effusion of 4 cases was significantly reduced; pleural effusion of 13 patients disappeared after 3 months; 3 cases had thickening pleura.Condusions The mechanism of pulmonary sarcoidosis with pleural effusion is unknown.Patients of sarcoidosis with pleural effusion need hormone therapy when they have symptoms.Sarcoidosis with pleural effusion is easily misdiagnosed.Image and laboratory examination combined with clinical can improve the diagnostic and reduce the misdiagnosis rate.