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[医源性肺部疾病]

[Iatrogenic lung diseases].

作者信息

Karoli N A, Rebrov A P, Roshchina A A, Steshenko R N, Bukiia A S

出版信息

Klin Med (Mosk). 2012;90(4):70-2.

Abstract

The interest in iatrogenic diseases in general and those of lungs in particular is due to the possibility of elucidating and eliminating their etiological factors for the prevention of progression of pathological changes. However, diagnostics of such conditions is hampered by the lack of their specific clinical and morphological manifestations. The present study considers the relationship between interstitial lung lesions and the use of high doses of melothrexate (30 mg/week) for the treatment of Crohn's disease. The authors emphasize the necessity of regular monitoring the state of the respiratory system in metothrexate-treated patients and vigilance over the risk of alveolitis in such patients. The awareness of the patients of the possible side effects of metothrexate therapy is of primary importance.

摘要

人们对医源性疾病,尤其是肺部医源性疾病感兴趣,是因为有可能阐明并消除其病因,以预防病理变化的进展。然而,此类病症的诊断因缺乏特异性临床和形态学表现而受到阻碍。本研究探讨了间质性肺病变与使用高剂量甲氨蝶呤(30毫克/周)治疗克罗恩病之间的关系。作者强调,有必要定期监测接受甲氨蝶呤治疗患者的呼吸系统状况,并警惕此类患者发生肺泡炎的风险。让患者了解甲氨蝶呤治疗可能产生的副作用至关重要。

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