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Diagnosis of pulmonary disease in human immunodeficiency virus infection: role of transbronchial biopsy and bronchoalveolar lavage.

作者信息

Griffiths M H, Kocjan G, Miller R F, Godfrey-Faussett P

机构信息

Department of Histopathology, University College and Middlesex School of Medicine, London.

出版信息

Thorax. 1989 Jul;44(7):554-8. doi: 10.1136/thx.44.7.554.

DOI:10.1136/thx.44.7.554
PMID:2549653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC461947/
Abstract

The value of transbronchial biopsy and bronchoalveolar lavage was assessed in the diagnosis of pulmonary disease in patients infected with the human immunodeficiency virus (HIV). Seventy four transbronchial biopsy and 66 bronchoalveolar lavage specimens (60 paired specimens) from 80 examinations in 64 patients were reviewed. Pneumocystis carinii was the most common pathogen isolated (43 patients). Bronchoalveolar lavage was superior to transbronchial biopsy for the diagnosis of this pathogen, the sensitivities being 90% and 56%. Cytomegalovirus was identified three times by lavage and once by transbronchial biopsy. Neither method detected Kaposi's sarcoma in the one patient shown to have it by open lung biopsy. The complication rate in a concurrent study of bronchoscopy with transbronchial biopsy in 74 consecutive HIV positive patients was 22%. This study does not support the use of transbronchial biopsy in these patients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/500a/461947/0d7e2409f864/thorax00283-0030-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/500a/461947/41f4d18d3721/thorax00283-0030-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/500a/461947/0d7e2409f864/thorax00283-0030-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/500a/461947/41f4d18d3721/thorax00283-0030-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/500a/461947/0d7e2409f864/thorax00283-0030-b.jpg

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本文引用的文献

1
Usefulness of transbronchial biopsy in immunosuppressed patients with pulmonary infiltrates.经支气管活检在免疫抑制且有肺部浸润患者中的应用价值
Thorax. 1983 Feb;38(2):146-50. doi: 10.1136/thx.38.2.146.
2
Kaposi's sarcoma presenting as pulmonary disease in the acquired immunodeficiency syndrome: diagnosis by lung biopsy.卡波西肉瘤在获得性免疫缺陷综合征中表现为肺部疾病：通过肺活检诊断
Hum Pathol. 1984 Oct;15(10):999-1001. doi: 10.1016/s0046-8177(84)80130-6.
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Tuberculosis, atypical mycobacteriosis, and the acquired immunodeficiency syndrome among Haitian and non-Haitian patients in south Florida.
Thorax. 1995 Nov;50(11):1141-6. doi: 10.1136/thx.50.11.1141.
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Changing patterns of respiratory disease in HIV positive patients in a referral centre in the United Kingdom between 1986-7 and 1990-1.1986 - 1987年至1990 - 1991年间英国一家转诊中心HIV阳性患者呼吸道疾病模式的变化
Thorax. 1993 Mar;48(3):204-7. doi: 10.1136/thx.48.3.204.
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Histologically atypical Pneumocystis carinii pneumonia.组织学上非典型的卡氏肺孢子虫肺炎。
Thorax. 1993 Oct;48(10):996-1001. doi: 10.1136/thx.48.10.996.
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Upper zone cystic lung disease in HIV related Pneumocystis carinii pneumonia.HIV相关卡氏肺孢子虫肺炎中的上叶囊性肺疾病
Thorax. 1993 Aug;48(8):869-70. doi: 10.1136/thx.48.8.869.
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AIDS and the lung: update 1995. 1. Pneumocystis carinii pneumonia.艾滋病与肺部：1995年最新进展。1. 卡氏肺孢子虫肺炎
Thorax. 1995 Feb;50(2):191-200. doi: 10.1136/thx.50.2.191.
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Open lung biopsy for investigation of acute respiratory episodes in patients with HIV infection and AIDS.对感染HIV和患艾滋病患者的急性呼吸事件进行调查的开胸肺活检。
Genitourin Med. 1995 Oct;71(5):280-5. doi: 10.1136/sti.71.5.280.
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Empirical treatment without bronchoscopy for Pneumocystis carinii pneumonia in the acquired immunodeficiency syndrome.获得性免疫缺陷综合征中卡氏肺孢子虫肺炎未经支气管镜检查的经验性治疗。
Thorax. 1989 Jul;44(7):559-64. doi: 10.1136/thx.44.7.559.
10
Bronchoalveolar lavage.支气管肺泡灌洗
Clin Rev Allergy. 1990 Summer-Fall;8(2-3):305-32. doi: 10.1007/BF02914451.
南佛罗里达州海地裔和非海地裔患者中的结核病、非典型分枝杆菌病及获得性免疫缺陷综合征
Ann Intern Med. 1984 Nov;101(5):641-5. doi: 10.7326/0003-4819-101-5-641.
4
Pathologic features of the lung in the acquired immune deficiency syndrome (AIDS): an autopsy study of seventeen homosexual males.获得性免疫缺陷综合征（艾滋病）患者肺部的病理特征：对17名同性恋男性的尸检研究
Am J Clin Pathol. 1984 Jan;81(1):6-12. doi: 10.1093/ajcp/81.1.6.
5
Use of the transbronchial biopsy for diagnosis of opportunistic pulmonary infections in acquired immunodeficiency syndrome (AIDS).经支气管活检在获得性免疫缺陷综合征（艾滋病）机会性肺部感染诊断中的应用。
Am J Clin Pathol. 1984 Jan;81(1):1-5. doi: 10.1093/ajcp/81.1.1.
6
Necropsy findings in acquired immunodeficiency syndrome: a comparison of premortem diagnoses with postmortem findings.获得性免疫缺陷综合征的尸检结果：生前诊断与死后发现的比较。
Hum Pathol. 1984 Jul;15(7):670-6. doi: 10.1016/s0046-8177(84)80293-2.
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Life-threatening bacterial pneumonia in male homosexuals with laboratory features of the acquired immunodeficiency syndrome.
Chest. 1985 Apr;87(4):486-8. doi: 10.1378/chest.87.4.486.
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Kaposi's sarcoma causing pulmonary infiltrates and respiratory failure in the acquired immunodeficiency syndrome.卡波西肉瘤在获得性免疫缺陷综合征中导致肺部浸润和呼吸衰竭。
Ann Intern Med. 1985 Apr;102(4):471-5. doi: 10.7326/0003-4819-102-4-471.
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Indications for and diagnostic efficacy of open-lung biopsy in the patient with acquired immunodeficiency syndrome (AIDS).
Ann Thorac Surg. 1986 Mar;41(3):307-12. doi: 10.1016/s0003-4975(10)62776-2.
10
Postal survey of bronchoscopic practice by physicians in the United Kingdom.英国医生支气管镜检查实践的邮政调查。
Thorax. 1986 Apr;41(4):311-7. doi: 10.1136/thx.41.4.311.