King T E
National Jewish Center for Immunology and Respiratory Medicine, Denver, Colorado.
Clin Chest Med. 1993 Dec;14(4):607-10.
Many of the diseases associated with bronchiolitis may produce varying degrees of both histologic manifestations--i.e., proliferative and constrictive bronchiolitis. The factors responsible for producing one pattern or the other are not known. It therefore is important that one consider both the etiologic and histologic classification when attempting to identify a case of bronchiolitis. In some instances, it appears that proliferative bronchiolitis, the more common variety, is an "early" lesion that may completely or partially resolve. Constrictive bronchiolitis is a rare finding and may be the final outcome of persistent and severe proliferative bronchiolitis. Most often, constrictive bronchiolitis appears to be a separate process dependent on the type, extent, and severity of the initial insult.
许多与细支气管炎相关的疾病可能会产生不同程度的组织学表现，即增殖性细支气管炎和缩窄性细支气管炎。导致出现一种或另一种模式的因素尚不清楚。因此，在试图诊断细支气管炎病例时，考虑病因学和组织学分类都很重要。在某些情况下，增殖性细支气管炎这种更常见的类型似乎是一种“早期”病变，可能会完全或部分消退。缩窄性细支气管炎是一种罕见的发现，可能是持续性严重增殖性细支气管炎的最终结果。大多数情况下，缩窄性细支气管炎似乎是一个独立的过程，取决于初始损伤的类型、范围和严重程度。
