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弥漫性肺泡出血:诊断及病因查找

Diffuse alveolar hemorrhage: diagnosing it and finding the cause.

作者信息

Ioachimescu Octavian C, Stoller James K

机构信息

Division of Pulmonary, Critical Care, and Sleep Medicine, Emory University, Atlanta, GA, USA.

出版信息

Cleve Clin J Med. 2008 Apr;75(4):258, 260, 264-5 passim. doi: 10.3949/ccjm.75.4.258.

Abstract

Diffuse alveolar hemorrhage is an acute, life-threatening event, and repeated episodes can lead to organizing pneumonia, collagen deposition in small airways, and, ultimately, fibrosis. Among the many conditions it can accompany are Wegener granulomatosis, microscopic polyangiitis, Goodpasture syndrome, connective tissue disorders, antiphospholipid antibody syndrome, infectious or toxic exposures, and neoplastic conditions. Its many causes and presentations pose an important challenge to the clinician.

摘要

弥漫性肺泡出血是一种急性、危及生命的事件,反复发作可导致机化性肺炎、小气道胶原沉积,最终发展为纤维化。它可能伴随的多种病症包括韦格纳肉芽肿、显微镜下多血管炎、古德帕斯彻综合征、结缔组织病、抗磷脂抗体综合征、感染或有毒物质暴露以及肿瘤性疾病。其众多的病因和表现给临床医生带来了重大挑战。

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