Wah T M, Moss H A, Robertson R J H, Barnard D L
Department of Clinical Radiology, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK.
Br J Radiol. 2003 Jun;76(906):373-9. doi: 10.1259/bjr/66835905.
Pulmonary complications account for significant morbidity and mortality in patients following bone marrow transplants (BMT). They are distinct from other immunosuppressed patients in that there is a predictable course of immunosuppresion and therefore of likely pulmonary complications. This is important when interpreting abnormal radiology as the predictable time course will enable narrowing the differential diagnoses to certain pulmonary complications that characteristically occur at a particular time following BMT. Early recognition and correct treatment of the pulmonary complications should minimize the significant mortality and morbidity. This review aims to discuss the role of radiology in the diagnosis and management of pulmonary complications following BMT.
肺部并发症是骨髓移植(BMT)患者发病和死亡的重要原因。它们与其他免疫抑制患者不同,因为免疫抑制过程是可预测的,因此肺部并发症也具有可预测性。这在解读异常影像学表现时很重要,因为可预测的病程将有助于缩小鉴别诊断范围,确定某些在BMT后特定时间出现的典型肺部并发症。早期识别和正确治疗肺部并发症应能将显著的死亡率和发病率降至最低。本综述旨在探讨放射学在BMT后肺部并发症诊断和管理中的作用。