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吸烟相关间质性肺疾病和肺气肿

Smoking-Related Interstitial Lung Disease and Emphysema.

作者信息

Escalon Joanna G, Girvin Francis

机构信息

Department of Radiology, New York-Presbyterian Hospital-Weill Cornell Medical College, 525 E 68th Street, New York, NY 10065, USA.

Department of Radiology, New York-Presbyterian Hospital-Weill Cornell Medical College, 525 E 68th Street, New York, NY 10065, USA.

出版信息

Clin Chest Med. 2024 Jun;45(2):461-473. doi: 10.1016/j.ccm.2023.08.016. Epub 2023 Sep 15.

Abstract

Diagnosis and treatment of patients with smoking-related lung diseases often requires multidisciplinary contributions to optimize care. Imaging plays a key role in characterizing the underlying disease, quantifying its severity, identifying potential complications, and directing management. The primary goal of this article is to provide an overview of the imaging findings and distinguishing features of smoking-related lung diseases, specifically, emphysema/chronic obstructive pulmonary disease, respiratory bronchiolitis-interstitial lung disease, smoking-related interstitial fibrosis, desquamative interstitial pneumonitis, combined pulmonary fibrosis and emphysema, pulmonary Langerhans cell histiocytosis, and E-cigarette or vaping related lung injury.

摘要

吸烟相关肺部疾病患者的诊断和治疗通常需要多学科协作以优化护理。影像学在明确潜在疾病特征、量化其严重程度、识别潜在并发症以及指导治疗方面发挥着关键作用。本文的主要目的是概述吸烟相关肺部疾病的影像学表现和鉴别特征,具体包括肺气肿/慢性阻塞性肺疾病、呼吸性细支气管炎-间质性肺疾病、吸烟相关间质性纤维化、脱屑性间质性肺炎、合并性肺纤维化和肺气肿、肺朗格汉斯细胞组织细胞增多症以及电子烟或雾化相关肺损伤。

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