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[骨髓移植后肺部并发症的X线表现]

[Pulmonary complications following bone marrow transplantation as seen on the x-ray].

作者信息

Schuster J, Sailer M, Schmeiser T, Schumacher K A, Heit W

机构信息

Abteilung Radiologie I, Universität Ulm.

出版信息

Rofo. 1988 Jan;148(1):15-20. doi: 10.1055/s-2008-1048138.

DOI:10.1055/s-2008-1048138
PMID:2829300
Abstract

In a retrospective study chest radiographs of 87 bone marrow transplant recipients were analysed. 36 patients had pulmonary complications with lung opacifications. Interstitial changes were more frequent than airspace pneumonias. The latter were caused by bacteria and fungi only. The most common cause of pulmonary complications was cytomegalovirus pneumonia. It was characterised uniformly by a bilateral diffuse interstitial pattern. Idiopathic interstitial pneumonias were indistinguishable from CMV infection. Pneumonias caused by Epstein-Barr virus and protozoa, diffuse radiation pneumonitis and leukaemic infiltrates were rare and also associated with interstitial changes.

摘要

在一项回顾性研究中,对87例骨髓移植受者的胸部X光片进行了分析。36例患者出现肺部并发症并伴有肺部混浊。间质性改变比肺泡性肺炎更常见。后者仅由细菌和真菌引起。肺部并发症最常见的原因是巨细胞病毒肺炎。其特征均为双侧弥漫性间质模式。特发性间质性肺炎与巨细胞病毒感染无法区分。由爱泼斯坦-巴尔病毒和原生动物引起的肺炎、弥漫性放射性肺炎和白血病浸润很少见,也与间质性改变有关。

相似文献

1
[Pulmonary complications following bone marrow transplantation as seen on the x-ray].[骨髓移植后肺部并发症的X线表现]
Rofo. 1988 Jan;148(1):15-20. doi: 10.1055/s-2008-1048138.
2
Pneumonia in bone marrow transplant patients.骨髓移植患者的肺炎
AJR Am J Roentgenol. 1984 Oct;143(4):707-14. doi: 10.2214/ajr.143.4.707.
3
Diffuse pulmonary infiltrates after bone marrow transplantation: the role of open lung biopsy.骨髓移植后的弥漫性肺浸润:开胸肺活检的作用
Ann Thorac Surg. 2004 Jul;78(1):267-72. doi: 10.1016/j.athoracsur.2004.03.002.
4
A randomized, controlled trial of prophylactic ganciclovir for cytomegalovirus pulmonary infection in recipients of allogeneic bone marrow transplants; The City of Hope-Stanford-Syntex CMV Study Group.一项针对异基因骨髓移植受者巨细胞病毒肺部感染的预防性更昔洛韦随机对照试验;希望之城-斯坦福-先灵葆雅巨细胞病毒研究组
N Engl J Med. 1991 Apr 11;324(15):1005-11. doi: 10.1056/NEJM199104113241501.
5
Pulmonary interstitial changes following bone marrow transplantation.
Radiology. 1979 Dec;133(3 Pt 1):587-92. doi: 10.1148/133.3.587.
6
[Pulmonary roentgen findings in interstitial pneumonia after bone marrow transplantation].[骨髓移植后间质性肺炎的肺部X线表现]
Z Gesamte Inn Med. 1991 Dec;46(18):703-7.
7
Pneumonia following bone marrow transplantation.
Australas Radiol. 1986 Aug;30(3):219-25. doi: 10.1111/j.1440-1673.1986.tb01743.x.
8
Cytomegalovirus induces interstitial lung disease in allogeneic bone marrow transplant recipient rats independent of acute graft-versus-host response.巨细胞病毒在同种异体骨髓移植受体大鼠中诱发间质性肺病,与急性移植物抗宿主反应无关。
Lab Invest. 1996 Feb;74(2):343-52.
9
Chest radiography in pediatric allogeneic bone marrow transplantation.小儿异基因骨髓移植中的胸部X线摄影
Cancer. 1980 Oct 15;46(8):1741-5. doi: 10.1002/1097-0142(19801015)46:8<1741::aid-cncr2820460807>3.0.co;2-b.
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[Serological diagnosis of cytomegalovirus-induced interstitial pneumonia in patients following bone marrow transplantation].
Z Gesamte Inn Med. 1991 Aug;46(12):443-6.

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