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结节性肺结节病。5例患者的临床、X线及生理病程

Nodular pulmonary sarcoidosis. Clinical, roentgenographic, and physiologic course in five patients.

作者信息

Onal E, Lopata M, Lourenço R V

出版信息

Chest. 1977 Sep;72(3):296-300. doi: 10.1378/chest.72.3.296.

Abstract

Five cases of nodular pulmonary sarcoidosis are presented. That nodular infiltration represents a reversible stage of sarcoidosis is suggested by the fact that all patients demonstrated roentgenographic resolution of these infiltrates. In four of the five subjects, tests of pulmonary function showed restrictive disease which remained unchanged or worsened despite radiologic clearing, suggesting persistence of active disease or development of residual pulmonary fibrosis. Evidence of obstruction of airways that was unexplained by a history of smoking was present in all of the five subjects.

摘要

本文报告了5例结节型肺结节病。所有患者的这些浸润灶在X线片上均显示消退,这表明结节浸润代表结节病的一个可逆阶段。在这5名患者中的4名中,肺功能测试显示为限制性疾病,尽管放射学表现好转,但病情仍未改变或恶化,提示存在活动性疾病持续存在或残留肺纤维化进展。所有5名患者均有气道阻塞的证据,且无法用吸烟史解释。

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