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矽肺中叶综合征

Middle Lobe Syndrome in Silicosis.

作者信息

Dixit Ramakant D, Jalutharia Jitendra, Goyal Mukesh, Chaudhary Pradeep, Kasliwal Neena

机构信息

Department of Respiratory Medicine, J. L. N. Medical College, Ajmer, Rajasthan, India.

出版信息

Indian J Occup Environ Med. 2021 Jul-Sep;25(3):182-184. doi: 10.4103/ijoem.ijoem_26_21. Epub 2021 Oct 9.

DOI:10.4103/ijoem.ijoem_26_21
PMID:34759607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8559878/
Abstract

A case of silicosis presenting as middle lobe syndrome is described in a middle-aged female. The diagnosis was confirmed by both bronchoscopy and demonstration of right middle lobe lumen narrowing and compression by calcified hilar lymph nodes on computerized tomographic scan. Simultaneous occurrence of endobronchial silicosis and bronchial stenosis by enlarged calcified peribronchial lymph nodes causing middle lobe syndrome has not been described previously as reported in this case.

摘要

本文描述了一例中年女性矽肺表现为中叶综合征的病例。支气管镜检查以及计算机断层扫描显示右中叶管腔狭窄并被钙化的肺门淋巴结压迫，从而确诊。如本病例所报告的，此前尚未有支气管内矽肺与钙化的支气管周围淋巴结肿大导致支气管狭窄并同时引发中叶综合征的相关描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/4a2e205d0a68/IJOEM-25-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/04e95435d34d/IJOEM-25-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/71a84e91269d/IJOEM-25-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/4a2e205d0a68/IJOEM-25-182-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/04e95435d34d/IJOEM-25-182-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/71a84e91269d/IJOEM-25-182-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/323c/8559878/4a2e205d0a68/IJOEM-25-182-g003.jpg

相似文献

1
Middle Lobe Syndrome in Silicosis.矽肺中叶综合征
Indian J Occup Environ Med. 2021 Jul-Sep;25(3):182-184. doi: 10.4103/ijoem.ijoem_26_21. Epub 2021 Oct 9.
2
Right middle lobe atelectasis associated with endobronchial silicotic lesions.右中叶肺不张伴支气管内矽肺病变。
Arch Pathol Lab Med. 2000 Nov;124(11):1619-22. doi: 10.5858/2000-124-1619-RMLAAW.
3
Tracheobronchial obstruction due to silicosis.矽肺所致气管支气管阻塞
Am Rev Respir Dis. 1992 Mar;145(3):719-21. doi: 10.1164/ajrccm/145.3.719.
4
Imaging Findings of Isolated Bronchial Anthracofibrosis: A Computed Tomography Analysis of Patients With Bronchoscopic and Histologic Confirmation.孤立性支气管炭末沉着症的影像学表现：支气管镜和组织学证实患者的 CT 分析。
Arch Bronconeumol. 2015 Jul;51(7):322-7. doi: 10.1016/j.arbres.2014.04.018. Epub 2014 Jul 10.
5
Silicosis-induced pulmonary artery stenosis: demonstration by MR angiography and perfusion MRI.矽肺所致肺动脉狭窄：磁共振血管造影和灌注磁共振成像的显示
Br J Radiol. 2001 Sep;74(885):859-61. doi: 10.1259/bjr.74.885.740859.
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Epituberculosis Revisited: Case Report and Review.再探结核样麻风：病例报告与综述
J Clin Diagn Res. 2017 Sep;11(9):OD05-OD07. doi: 10.7860/JCDR/2017/28718.10584. Epub 2017 Sep 1.
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[Bronchoscopic diagnosis of central peribronchial lung cancer in silicosis and silicotuberculosis].[矽肺和矽肺结核中中央型支气管周围肺癌的支气管镜诊断]
Probl Tuberk. 1996(2):24-6.
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Efficacy of endobronchial ultrasound-guided transbronchial needle aspiration of hilar lymph nodes for diagnosing and staging cancer.支气管内超声引导下经支气管针吸活检肺门淋巴结在癌症诊断和分期中的疗效
J Thorac Oncol. 2009 Aug;4(8):947-50. doi: 10.1097/JTO.0b013e3181add88d.
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Mediastinal and Hilar Lymph Node Measurements. Comparison of Multidetector-Row Computed Tomography and Endobronchial Ultrasound.纵隔和肺门淋巴结测量。多排螺旋 CT 与支气管内超声的比较。
Ann Am Thorac Soc. 2015 Jun;12(6):914-20. doi: 10.1513/AnnalsATS.201312-430OC.
10
[Silicosis and hemoptysis].[矽肺与咯血]
Rev Mal Respir. 2021 Mar;38(3):300-303. doi: 10.1016/j.rmr.2021.01.012. Epub 2021 Feb 19.

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Silicosis prevalence and related issues in India: a scoping review.印度矽肺病患病率及相关问题：一项范围综述
J Occup Med Toxicol. 2025 Jan 29;20(1):3. doi: 10.1186/s12995-024-00445-2.
2
Sociodemographic profile, work practices, and disease awareness among stone mine workers having silicosis from Central Rajasthan.拉贾斯坦邦中部患有矽肺病的石矿工人的社会人口学特征、工作习惯及疾病认知情况
Lung India. 2023 Mar-Apr;40(2):117-122. doi: 10.4103/lungindia.lungindia_196_22.

本文引用的文献

1
Endobronchial Silicosis and Tuberculosis Presenting as the Right Middle Lobe Syndrome.表现为右中叶综合征的支气管内矽肺和肺结核
J Bronchology Interv Pulmonol. 2016 Oct;23(4):e35-e37. doi: 10.1097/LBR.0000000000000302.
2
Middle lobe syndrome: a review of clinicopathological features, diagnosis and treatment.中叶综合征：临床病理特征、诊断和治疗的综述。
Respiration. 2012;84(1):80-6. doi: 10.1159/000336238. Epub 2012 Mar 1.
3
Middle lobe syndrome.中叶综合征
Postgrad Med. 1948 Jul;4(1):29-34. doi: 10.1080/00325481.1948.11693655.
4
Right middle lobe atelectasis associated with endobronchial silicotic lesions.右中叶肺不张伴支气管内矽肺病变。
Arch Pathol Lab Med. 2000 Nov;124(11):1619-22. doi: 10.5858/2000-124-1619-RMLAAW.
5
[Silicosis leading to the development of right middle lobe atelectasis--report of 3 cases].[矽肺导致右中叶肺不张——附3例报告]
Zhonghua Yu Fang Yi Xue Za Zhi. 1982 Sep;16(5):303-5.
6
Tracheobronchial obstruction due to silicosis.矽肺所致气管支气管阻塞
Am Rev Respir Dis. 1992 Mar;145(3):719-21. doi: 10.1164/ajrccm/145.3.719.
7
Collateral ventilation and the middle lobe syndrome.侧支通气与中叶综合征。
Am Rev Respir Dis. 1978 Aug;118(2):305-10. doi: 10.1164/arrd.1978.118.2.305.