Hareyama M, Satoh M, Yamagishi M, Tamakawa M, Oouchi A, Shidou M, Nagakura H, Koiwai S, Morita K
Dept. of Radiology, Sapporo Med. College.
Gan No Rinsho. 1990 Oct;36(13):2319-25.
Radiation pneumonitis and radiation fibrosis are two distinct syndromes with probably different target cells. The ultrastructural changes occur rapidly and current evidence suggests that damage to the type II pneumocyte and the endothelial cell is linked to the pneumonia process than the fibrotic. The fibrosis process may be related to the basement membrane of both endothelial cells and alveolar type I cells. Dose time and volume data for tolerance dose are well documented in animals. Many antineoplastic agents enhances radiation lung damage. The pneumonitis and fibrosis will be discussed.
放射性肺炎和放射性肺纤维化是两种不同的综合征,可能具有不同的靶细胞。超微结构变化出现迅速,目前的证据表明,II型肺泡上皮细胞和内皮细胞的损伤与肺炎过程的关联大于与纤维化的关联。纤维化过程可能与内皮细胞和I型肺泡细胞的基底膜有关。动物的耐受剂量的剂量、时间和体积数据有充分记录。许多抗肿瘤药物会加重放射性肺损伤。将对肺炎和纤维化进行讨论。