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淋巴细胞间质性肺炎的CT引导下经皮肺穿刺活检病例分析

A Case Analysis on CT Guided Percutaneous Lung Puncture Biopsy of Lymphocyte Mesenchymal Pneumonia.

作者信息

Zhu Dan, Yu Long, Chen Hui

机构信息

Department of Respiration, Jinhua Central Hospital, Zhejiang University Jinhua Hospital, Jinhua, Zhejiang 321000, China.

出版信息

Comb Chem High Throughput Screen. 2018;21(10):806-810. doi: 10.2174/1386207322666190122112025.

Abstract

OBJECTIVE

To explore the application and diagnostic value of high-resolution CT in the process of lymphocytic interstitial pneumonia clinical diagnosis, and analyze one case of CT-guided percutaneous lung biopsy lymphocytic interstitial pneumonia.

METHODS

The medical record of a patient with lymphocyte interstitial pneumonia (LIP) who came to the clinic on 2014-04-22 were analyzed and summarized retrospectively.

RESULTS

The patient was a 55 years old female farmer. The CT-guided percutaneous lung biopsy was performed at her first visit; on 2014-07-09, the patient returned to our outpatient clinic with the main complaint of "1 week of coughing and blood in sputum and phlegm". Pathology consultation report from the PLA General Hospital on 2014-07-29 showed: (right lower lung) pneumonic pseudo-tumor; Zhejiang First Hospital's pathology consultation report on 2014-08-11 showed: lymphocyte interstitial pneumonia.

CONCLUSION

The diagnosis of lymphocyte interstitial pneumonia (LIP) with high-resolution CT may be used to increase its clinical diagnosis rate, reduce misdiagnosis and improve early detection.

摘要

目的

探讨高分辨率CT在淋巴细胞间质性肺炎临床诊断过程中的应用及诊断价值,并分析1例CT引导下经皮肺穿刺活检的淋巴细胞间质性肺炎病例。

方法

回顾性分析总结2014年4月22日就诊的1例淋巴细胞间质性肺炎(LIP)患者的病历资料。

结果

患者为55岁女性农民。初诊时行CT引导下经皮肺穿刺活检;2014年7月9日,患者因“咳嗽、咳痰带血1周”为主诉再次来我院门诊。2014年7月29日解放军总医院病理会诊报告显示:(右下肺)肺炎性假瘤;2014年8月11日浙江大学医学院附属第一医院病理会诊报告显示:淋巴细胞间质性肺炎。

结论

高分辨率CT对淋巴细胞间质性肺炎(LIP)的诊断可提高其临床诊断率,减少误诊,实现早期发现。

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