Thiel M, Wüthrich R, Hold G, Christen B, Imhof E
Medizinische Klinik, Stadtspital Triemli, Zürich.
Schweiz Rundsch Med Prax. 1993 Sep 28;82(39):1077-80.
A 77-year-old lady with malaise, cough, weight loss, an elevated ESR and bilateral patchy infiltrates on the chest X-ray is described. The symptoms progressed inspite of antibiotic treatment. On the basis of clinical findings, transbronchial biopsy, bronchoalveolar lavage and lung function tests the diagnosis of a bronchiolitis obliterans, organizing pneumonia (BOOP) was established. The clinicopathological entity of BOOP, its differential diagnosis and treatment are discussed.
本文描述了一位77岁的女性，她出现不适、咳嗽、体重减轻、血沉升高，胸部X光显示双侧斑片状浸润。尽管进行了抗生素治疗，症状仍有进展。根据临床检查结果、经支气管活检、支气管肺泡灌洗和肺功能测试，确诊为闭塞性细支气管炎伴机化性肺炎（BOOP）。文中讨论了BOOP的临床病理实体、鉴别诊断及治疗。
