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结缔组织病的肺部并发症

Pulmonary complications of connective tissue diseases.

作者信息

Woodhead Felix, Wells Athol U, Desai Sujal R

机构信息

Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK.

出版信息

Clin Chest Med. 2008 Mar;29(1):149-64, vii. doi: 10.1016/j.ccm.2007.11.009.

Abstract

Lung involvement is common in patients who have complications of connective tissue disease (CTDs) and causes considerable morbidity and mortality. High resolution CT (HRCT) has a pivotal role in the detection of lung fibrosis. In patients who have coexistent pathologic processes, HRCT often allows the predominant process to be identified. HRCT has an important role in detecting possible complications such as opportunistic infection or the development of malignancy. However, the limitations of HRCT should not be overlooked. In many cases, HRCT appearances are nonspecific and may or may not be related to an underlying CTD. Thus, radiologic findings should never be interpreted without knowledge of the clinical picture.

摘要

肺部受累在患有结缔组织病(CTD)并发症的患者中很常见,会导致相当高的发病率和死亡率。高分辨率CT(HRCT)在检测肺纤维化方面具有关键作用。在存在并存病理过程的患者中,HRCT通常能够识别出主要的病理过程。HRCT在检测诸如机会性感染或恶性肿瘤发生等可能的并发症方面具有重要作用。然而,HRCT的局限性也不应被忽视。在许多情况下,HRCT表现是非特异性的,可能与潜在的CTD有关,也可能无关。因此,在不了解临床情况的情况下,绝不应该对影像学表现进行解读。

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