Ghoshal A G, Saha A K, Roy D J, Ghosh S
Department of Chest Medicine, Calcutta.
J Indian Med Assoc. 1997 Dec;95(12):610-2.
Fibrothorax is a common clinical condition found in everyday clinical practice. The clinical horizon of fibrothorax can be differentiated into pleural and lung parenchymal fibrosis. The two groups can be differentiated clinically and also by investigations. A thorough understanding of the process gives one better knowledge as to their different aetiologies, presentations and prognoses. The nature of prevention of this meance varies in these types. Patient's drug compliance status is important in preventing primary lung parenchymal fibrosis whereas physician's adequate care for pleural drainage is important in the prevention of pleural fibrosis. In this prospective study, observations were made on (1) the clinical presentation of 100 cases of fibrothorax and its relation to the primary disease, (2) aetiological distribution of the cases of fibrothorax and (3) scope of prevention, if any.
纤维胸是日常临床实践中常见的临床病症。纤维胸的临床范围可分为胸膜和肺实质纤维化。这两组在临床上以及通过检查都可以区分。对该过程的透彻理解能让人更好地了解它们不同的病因、表现和预后。在这些类型中,预防这种病症的性质各不相同。患者的药物依从性状况对于预防原发性肺实质纤维化很重要,而医生对胸腔引流的充分护理对于预防胸膜纤维化很重要。在这项前瞻性研究中,对以下方面进行了观察:(1)100例纤维胸的临床表现及其与原发性疾病的关系,(2)纤维胸病例的病因分布,以及(3)预防范围(如有)。