Scholand Mary Beth
Pulmonary Division, University of Utah, 26 North 1900 East, Salt Lake City, UT 84112, USA.
Semin Ultrasound CT MR. 2002 Aug;23(4):269-74. doi: 10.1016/s0887-2171(02)90016-8.
The term interstitial lung disease (ILD) encompasses a large variety of entities. The clinical diagnosis is often difficult and is a multidisciplinary process. Achieving the correct diagnosis often involves 3 elements: a clinical impression, radiologic evaluation, and a pathologic opinion. All 3 components play a critical role. Frequently, the goal is differentiating idiopathic pulmonary fibrosis (IPF) from more treatable entities. This article provides an overview of the input provided by the 3 specialties cited earlier, as well as the interrelationship among these specialties in the diagnosis of ILD. Additional consideration is given to the decision-making process involved in determining when to obtain a biopsy specimen from a patient with ILD, and a review of current treatment strategies.
间质性肺疾病（ILD）这一术语涵盖了多种病症。临床诊断往往颇具难度，是一个多学科的过程。做出正确诊断通常涉及三个要素：临床印象、影像学评估以及病理诊断意见。这三个组成部分都起着关键作用。通常，目标是将特发性肺纤维化（IPF）与更具可治性的病症区分开来。本文概述了上述三个专业领域所提供的信息，以及这些专业领域在ILD诊断中的相互关系。此外，还考虑了决定何时对ILD患者进行活检标本采集的决策过程，并对当前的治疗策略进行了综述。
