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近年来应用支气管肺泡灌洗(BAL)研究某些肺间质性疾病(ILD)的发病机理和诊断一些肺部疾病,是一种简便安全可以反复进行的非创伤性方法。我院自1984年8月到1986年4月为40例病人进行BAL 检查,其中6例因回收量低于25ml 而弃去,余34例中24例为肺弥漫性疾病(其中特发性弥漫性肺纤维化14例,肺结节病5例,结缔组织疾病致肺纤维化2例,肺含铁血黄素沉着症3例),10例对照组(包括局限性肺癌5例,局限性肺结核2例,肺纹理增多3例)。4例皆经肺活检,其它活检或痰检查确诊。
In recent years, the use of bronchoalveolar lavage (BAL) to study the pathogenesis of certain interstitial lung disease (ILD) and diagnosis of some lung diseases is a simple and safe non-invasive method that can be repeated. In our hospital from August 1984 to April 1986, 40 patients underwent BAL examinations, of which 6 were discarded due to a recovery of less than 25 ml, and 24 of the remaining 34 patients were diffuse pulmonary disease (where diffuse idiopathic There were 14 cases of pulmonary fibrosis, 5 cases of pulmonary sarcoidosis, 2 cases of pulmonary fibrosis caused by connective tissue diseases, 3 cases of pulmonary hemosiderosis, and 10 cases of control group (including 5 cases of localized lung cancer, localized pulmonary tuberculosis). In 2 cases, there were 3 cases of increased lung texture. All 4 cases were confirmed by lung biopsy, other biopsy or sputum examination.