St John R C, Dorinsky P M
Department of Internal Medicine, Ohio State University College of Medicine, Columbus.
Clin Chest Med. 1993 Dec;14(4):667-75.
Cryptogenic bronchiolitis is a unique clinical disorder that causes rapidly progressive, chronic airflow obstruction. In this article, we reviewed the pathology, clinical characteristics, and proposed pathogenesis of cryptogenic bronchiolitis. It is evident that cryptogenic bronchiolitis represents the result of a disordered inflammatory response in the small airways of the lung. The clinical characteristics of cryptogenic bronchiolitis, in most instances, should allow this disorder to be distinguished from other causes of chronic airflow obstruction, as well as from BOOP. In this regard, a high clinical suspicion and an awareness of its unique clinical features are the keys to the diagnosis of cryptogenic bronchiolitis.
隐源性细支气管炎是一种独特的临床病症,可导致快速进展的慢性气流阻塞。在本文中,我们回顾了隐源性细支气管炎的病理学、临床特征及提出的发病机制。显然,隐源性细支气管炎是肺部小气道炎症反应紊乱的结果。在大多数情况下,隐源性细支气管炎的临床特征应能使其与慢性气流阻塞的其他病因以及闭塞性细支气管炎伴机化性肺炎相鉴别。在这方面,高度的临床怀疑以及对其独特临床特征的认识是隐源性细支气管炎诊断的关键。