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间质性肺疾病:分类、病因、流行病学、临床诊断、药物及非药物治疗综述

Interstitial lung disease: a review of classification, etiology, epidemiology, clinical diagnosis, pharmacological and non-pharmacological treatment.

作者信息

Althobiani Malik A, Russell Anne-Marie, Jacob Joseph, Ranjan Yatharth, Folarin Amos A, Hurst John R, Porter Joanna C

机构信息

Royal Free Campus, UCL Respiratory, University College London, London, United Kingdom.

Department of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Front Med (Lausanne). 2024 Apr 18;11:1296890. doi: 10.3389/fmed.2024.1296890. eCollection 2024.

Abstract

Interstitial lung diseases (ILDs) refer to a heterogeneous and complex group of conditions characterized by inflammation, fibrosis, or both, in the interstitium of the lungs. This results in impaired gas exchange, leading to a worsening of respiratory symptoms and a decline in lung function. While the etiology of some ILDs is unclear, most cases can be traced back to factors such as genetic predispositions, environmental exposures (including allergens, toxins, and air pollution), underlying autoimmune diseases, or the use of certain medications. There has been an increase in research and evidence aimed at identifying etiology, understanding epidemiology, improving clinical diagnosis, and developing both pharmacological and non-pharmacological treatments. This review provides a comprehensive overview of the current state of knowledge in the field of interstitial lung diseases.

摘要

间质性肺疾病(ILDs)是指一组异质性且复杂的病症,其特征为肺部间质出现炎症、纤维化或两者兼具。这会导致气体交换受损,进而使呼吸道症状恶化并致使肺功能下降。虽然某些间质性肺疾病的病因尚不清楚,但大多数病例可追溯到遗传易感性、环境暴露(包括过敏原、毒素和空气污染)、潜在的自身免疫性疾病或某些药物的使用等因素。针对确定病因、了解流行病学、改善临床诊断以及开发药物和非药物治疗方法的研究和证据有所增加。本综述全面概述了间质性肺疾病领域的当前知识状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/960e/11063378/a2fdc3edcaf2/fmed-11-1296890-g0001.jpg

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