Wesołowski S, Kuś J, Oniszh K, Langfort R
I Kliniki Gruźlicy i Chorób Płuc, Warszawie.
Pneumonol Alergol Pol. 2001;69(11-12):635-43.
Clinical presentation of idiopathic pulmonary fibrosis (IPF) restricted, according to current definition to usual interstitial pneumonia (UIP) was presented. 62 patients (39 males and 23 females) were assessed. The diagnosis of IPF/UIP has been based upon a combination of clinical, radiographic and physiologic features in majority of patients. Histologic confirmation from lung biopsy has been obtained in 16% of cases. Mean age of the patients was 64.4 +/- 8.0 years. Mean duration of symptoms was 20.1 +/- 14.1 months. The main symptom was exertional dyspnea. Crepitations were found in 98% of patients. Lung volumes were in normal range in substantial number of patients; TLC in 15 (24%) and FVC in 33 (53%) out of 62 patients. Disturbances of lung function concerned mainly gas exchange (DLCO diminished in 92% of cases) and lung compliance (diminished in all patients). Presentation of clinical, radiographic and physiologic features of IPF/UIP in a homogenous group of patients may be helpful in diagnosis of this common interstitial lung disease.
介绍了根据目前定义局限于寻常型间质性肺炎(UIP)的特发性肺纤维化(IPF)的临床表现。对62例患者(39例男性和23例女性)进行了评估。大多数患者的IPF/UIP诊断基于临床、影像学和生理学特征的综合判断。16%的病例获得了肺活检的组织学确诊。患者的平均年龄为64.4±8.0岁。症状的平均持续时间为20.1±14.1个月。主要症状为劳力性呼吸困难。98%的患者可闻及湿啰音。相当数量的患者肺容积在正常范围内;62例患者中,15例(24%)的肺总量(TLC)和33例(53%)的用力肺活量(FVC)正常。在一组同质患者中呈现IPF/UIP的临床、影像学和生理学特征可能有助于诊断这种常见的间质性肺疾病。