肺部浸润——淋巴瘤的诊断问题
Pulmonary infiltrates--diagnostic problems in lymphoma.
作者信息
Campbell J H, Raina V, Banham S W, Cunningham D, Soukop M
机构信息
Department of Respiratory Medicine, Glasgow Royal Infirmary, UK.
出版信息
Postgrad Med J. 1989 Dec;65(770):881-4. doi: 10.1136/pgmj.65.770.881.
The use of invasive investigations in immunocompromised patients with pulmonary infiltrates is controversial. We report a series of 22 pulmonary lesions occurring in 19 patients with underlying Hodgkin's (7) and non-Hodgkin's (12) lymphoma in whom invasive investigations were performed. The principle techniques used were fibreoptic bronchoscopy, bronchoalveolar lavage and transbronchial lung biopsy. A specific diagnosis was made on 12 occasions (55%). Involvement of the lung with lymphoma (6) and cytotoxic drug induced pneumonitis (4) were the commonest diagnoses, infection being found on only one occasion. In 15 of these 22 procedures (68%) the information obtained made a positive contribution to patient management.
在免疫功能低下且有肺部浸润的患者中进行侵入性检查存在争议。我们报告了19例潜在霍奇金淋巴瘤（7例）和非霍奇金淋巴瘤（12例）患者发生的一系列22处肺部病变，这些患者均接受了侵入性检查。所使用的主要技术包括纤维支气管镜检查、支气管肺泡灌洗和经支气管肺活检。有12次（55%）做出了明确诊断。肺部淋巴瘤（6例）和细胞毒性药物引起的肺炎（4例）是最常见的诊断，仅1例发现感染。在这22例检查中，有15例（68%）所获得的信息对患者的治疗有积极作用。
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