论文部分内容阅读
胸内结节病9例,其中男5例,女4例;Ⅰ期4例,Ⅱ期5例;年龄25～50岁。4例无临床症状,咳嗽5例;浅表淋巴结肿大4例,皮下结节3例。X线表现主要为双肺门淋巴结对称性肿十或伴纵隔淋巴结肿大。全部病例均行纤维支气管镜检查,镜下未见气道内明确病变,常规在两下肺第8、9、10肺段行经支气管肺活检(TBLB),病理改变符合结节病。4例Ⅰ期病人胸片上肺野内未见病变,TBLB也阳性。说明胸内结节病早期即有肺实质浸润。建议对临床上怀疑为胸内结节病者,即使肺野内无病变,都应积极做TBLB。
Thoracic sarcoidosis in 9 cases, including 5 males and 4 females; Ⅰ in 4 cases, Ⅱ in 5 cases; aged 25 to 50 years. 4 cases without clinical symptoms, cough in 5 cases; superficial lymph nodes in 4 cases, 3 cases of subcutaneous nodules. X-ray showed mainly bilateral hilar lymph node cysts or mediastinal lymph nodes. All cases underwent fibrobronchoscopy, no clear pathological changes in the airway, routine in the two lung segments 8, 9, 10 through bronchoscopic lung biopsy (TBLB), pathological changes consistent with sarcoidosis. There were no lesions in the chest field in 4 cases of stage Ⅰ patients, and TBLB was also positive. Sternal sarcoidosis that pulmonary interstitial infiltration. It is recommended for clinical suspicion of intrathoracic sarcoidosis, even if no disease in the lung field, should actively do TBLB.