Geddes D M
Thorax. 1991 Aug;46(8):545-7. doi: 10.1136/thx.46.8.545.
BOOP and COP are essentially the same condition and represent one of many ways in which the lung may respond to an inflammatory stimulus. Some underlying causes of BOOP have been identified but in many cases no cause can be found. The clinical and radiological features are of a pneumonic illness that responds to corticosteroids rather than antibiotics, but as milder cases are being identified the clinical spectrum is widening. Most cases can be confidently diagnosed only by open lung biopsy, but bacteriological lavage and transbronchial biopsy followed by a trial of steroids may sometimes be considered.
闭塞性细支气管炎伴机化性肺炎（BOOP）和隐源性机化性肺炎（COP）本质上是同一种病症，代表了肺部对炎症刺激的多种反应方式之一。已经确定了BOOP的一些潜在病因，但在许多情况下找不到病因。其临床和放射学特征表现为对皮质类固醇而非抗生素有反应的肺炎性疾病，但随着较轻病例的被发现，临床谱正在扩大。大多数病例只有通过开胸肺活检才能确诊，但有时也可考虑进行细菌学灌洗和经支气管活检，然后进行类固醇试验。
