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顾名思义,毛细支气管炎有其特殊的组织学表现,这种含义已被正式承认(美国胸腔医师学会-美国胸科学会联合会,1975)。但在实际工作中,仅仅是根据临床表现使用这个名称,而且诊断标准极不统一。在这些临床表现中最主要的是喘鸣(Wheezing),而喘鸣并非一个特异的征候,它可见于多种组织学改变。在描述一种特异的组织学改变和一个无严格定义的临床综合征时,使用同一个术语则易造成混乱。本文着重评价在使用毛细支气管炎这个术语中的一些争论,并研究其起因,提出可能解决这些争论的原则和方法。
As the name implies, bronchiolitis has its own special histological appearance, and this implication has been formally acknowledged (American Society of Thoracic-American Thoracic Society, 1975). However, in practice, this name is only used according to clinical manifestations, and the diagnostic criteria are not uniform. Wheezing is the most important of these clinical manifestations, and wheezing is not a specific sign that can be seen in many histological changes. Using the same term can be confusing when it comes to describing a specific histological change and a clinical syndrome that is not strictly defined. This article focuses on evaluating some of the debates in the use of the term bronchiolitis and examining its causes and proposing principles and approaches that may address these controversies.