CAJ | 학술논문

目的：加深对汽油吸入致外源性类脂性肺炎的认识。方法报道我院收治的1例汽油吸入致外源性类脂性肺炎资料,结合万方数据库发表的相关10例病例资料进行临床分析。结果11例患者均出现咳嗽,9例伴有气促,7例患者出现胸闷、胸痛。患者胸部X片或CT出现斑块状、磨玻璃样、铺路石样、实变或结节影等改变。11例均予以抗感染治疗,2例予以支气管肺泡灌洗治疗,2例予手术切除治疗,6例患者予以激素治疗。10例患者病情好转,1例患者死亡。结论外源性类脂性肺炎缺乏特异性临床表现,我们应提高对此类疾病的认识,减少临床漏诊、误诊。
목적：가심대기유흡입치외원성류지성폐염적인식。방법보도아원수치적1례기유흡입치외원성류지성폐염자료,결합만방수거고발표적상관10례병례자료진행림상분석。결과11례환자균출현해수,9례반유기촉,7례환자출현흉민、흉통。환자흉부X편혹CT출현반괴상、마파리양、포로석양、실변혹결절영등개변。11례균여이항감염치료,2례여이지기관폐포관세치료,2례여수술절제치료,6례환자여이격소치료。10례환자병정호전,1례환자사망。결론외원성류지성폐염결핍특이성림상표현,아문응제고대차류질병적인식,감소림상루진、오진。
Objective To have a futher understanding of exogenous lipid pneumonia induced by gasoline as-piration. Methods A literature review and clinical analysis ware made in one casa dignosised as exogenous lipid pneumonia and 10 patients from the wanfang Database. Results There were 11 cases of cough, 9 cases of dyspnea, and 7 cases of chest tightness or pain. The chest X-ray or CT scan in the 11 patients were various, such as patchy in-filtration, ground-glass, consolidation, ground glass opacities with thickening of intralobular septa or nodules and etc. 11 patients had received anti-infection treatment, 2 patients had received bronchoalveolar lavage treatment, 2 patients had received the surgery, and 6 patients were treated with corticosteroid. 10 cases patients recovered and 1 patient died. Conclusion Exogenous lipid pneumonia has no specific clinical manifestations, which should be paid more at-tention.