Clement A
Dept de Pneumologie Pediatrique - INSERM E213, Hopital d'enfants Armand Trousseau, 26 Ave du DrArnold Netter, 75571 Paris cedex 12, France.
Eur Respir J. 2004 Oct;24(4):686-97. doi: 10.1183/09031936.04.00089803.
Chronic interstitial lung diseases in children represent a heterogeneous group of disorders of both known and unknown causes that share common histological features. Despite many efforts these diseases continue to present clinical management dilemmas, principally because of their rare frequency that limits considerably the possibilities of collecting enough cases for clinical and research studies. Through a Task Force conducted by the European Respiratory Society, which comprised respiratory physicians and basic scientists from across Europe, 185 cases of interstitial lung diseases in immunocompetent children were collected and reviewed. The present report provides important clinically-relevant information on the current approach to diagnosis and management of chronic interstitial lung diseases in children. In addition, recommendations for the management of paediatric interstitial lung diseases, as well as new insights into interstitial lung diseases pathophysiology during childhood are discussed.
儿童慢性间质性肺疾病是一组病因已知和未知的异质性疾病,具有共同的组织学特征。尽管付出了诸多努力,这些疾病在临床管理上仍面临困境,主要原因是其发病率低,极大地限制了为临床和研究收集足够病例的可能性。通过欧洲呼吸学会组织的一个特别工作组,该工作组由来自欧洲各地的呼吸内科医生和基础科学家组成,收集并审查了185例免疫功能正常儿童的间质性肺疾病病例。本报告提供了关于儿童慢性间质性肺疾病当前诊断和管理方法的重要临床相关信息。此外,还讨论了儿童间质性肺疾病的管理建议以及儿童期间质性肺疾病病理生理学的新见解。