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[肺结核与其他累及肺中叶(舌叶)疾病的鉴别诊断]

[Differential diagnosis of tuberculosis and other diseases affecting the middle lobe of the lung (lingular lobe)].

作者信息

Insanov A B

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1981 Jan-Mar;30(1):43-8.

PMID:6264570
Abstract

Based on data resulting from clinical, laboratory, bronchological and radiological correlations investigated in 102 patients with affections involving the median pulmonary lobe (the lingula), the author concluded that no characteristic symptoms can be evidenced, suggesting lesions of the anterior pulmonary areas. The major role in establishing the characteristics of the lesion in this area falls to the radio-bronchological investigation performed specifically for this. According to the radiological aspects the author identified 6 types of broncho-stenotic syndromes involving the median pulmonary lobe, but he stresses that in view of making an etiologic diagnosis the bronchologic investigation, and the cytohistologic study of bioptic material are of major importance. The use of immunologic test is also stressed, in the diagnosis of bronchopulmonary diseases. The author reveals that the diagnosis of "syndrome of the median lobe" cannot replace the exact diagnosis of the disease that should be made in accordance with the nomenclature of the disease and the precise indication of the nosologic form.

摘要

基于对102例累及肺中叶(舌叶)病变患者进行的临床、实验室、支气管镜及放射学相关性研究得出的数据,作者得出结论:无法证实存在提示肺前部区域病变的特征性症状。在确定该区域病变特征方面,主要作用在于专门为此进行的放射支气管镜检查。根据放射学表现,作者识别出6种累及肺中叶的支气管狭窄综合征类型,但他强调,鉴于要做出病因诊断,支气管镜检查以及活检材料的细胞组织学研究至关重要。在支气管肺部疾病的诊断中,免疫检测的应用也受到重视。作者指出,“中叶综合征”的诊断不能替代根据疾病命名法和疾病分类形式的确切指征做出的疾病准确诊断。

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Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1981 Jan-Mar;30(1):43-8.
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