Wan H Y, Deng W W, Zhu Q R
Rui-Jin Hospital, Shanghai Second Medical University.
Zhonghua Jie He He Hu Xi Za Zhi. 1994 Feb;17(1):18-20, 61.
Lung biopsies with light microscopic and ultrastructural observations were performed in 34 cases of diffuse pulmonary diseases. Open lung biopsy 2 cases, transfiberoptic bronchoscopy lung biopsy 32 cases. There were 19 (56%) idiopathic interstitial fibrosis, 3 (9%) pulmonary alveolar proteinosis, 3 (9%) pulmonary sarcoidosis, 1 (3%) idiopathic pulmonary hemosiderosis, 2 (6%) pulmonary mycosis, 1 (3%) alveolar cell carcinoma, 2 (6%) pulmonary tuberculosis and 3 (9%) pulmonary collagen diseases. Diagnosis was based on clinical data and pathologic manifestation. Lung biopsy with light and electronic microscopic examination is useful in etiologic diagnosis and differential diagnosis for diffuse pulmonary diseases.
对34例弥漫性肺部疾病患者进行了肺活检,并进行了光镜和超微结构观察。其中开胸肺活检2例,经纤维支气管镜肺活检32例。包括特发性肺间质纤维化19例(56%)、肺泡蛋白沉积症3例(9%)、肺结节病3例(9%)、特发性肺含铁血黄素沉着症1例(3%)、肺霉菌病2例(6%)、肺泡细胞癌1例(3%)、肺结核2例(6%)、肺胶原病3例(9%)。诊断依据临床资料和病理表现。光镜和电镜检查的肺活检对弥漫性肺部疾病的病因诊断和鉴别诊断有帮助。