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结节病除了胸廓内双侧肺门淋巴节肿大(BHL)外,胸廓外病变的眼部症状,发生率是很高的,多因虹膜炎引起睫状充血,视物模糊、视力下降而就诊眼科,进而发现本病。本病的眼部病变主要是葡萄膜炎.眼科诊断本病的优点是,检查无副损伤,1mm 以下的病变通过肉眼也能发现。与 X 线及其他图像检查相比,很容易发现病变。但眼部进行活检等项有侵袭的检查是困难的。因此作者认为以裂隙灯、检眼镜检查为主的眼部定性所见限制了本病的诊断,还需依靠呼吸内科的专门医生,进行支气管肺活检(TBLB)等全身检查,最后才能确诊本病,这是诊断本病的一条原则。
Nodular disease in addition to bilateral thoracic hilar lymph node enlargement (BHL), extrathoracic lesions of the eye symptoms, the incidence is high, mostly due to iris caused by ciliary congestion, blurred vision, vision loss and Visit ophthalmology, and then found the disease. The disease of the eye lesions are mainly uveitis .Ophthalmology diagnosis The advantage of this disease is to check without side damage, lesions below 1mm can be found by the naked eye. Compared with X-ray and other image examination, it is easy to find lesions. But the eye for biopsy and other invasive examination is difficult. Therefore, the authors believe that the slit lamp, ophthalmoscopy-based eye qualitative view of the limited diagnosis of the disease, but also need to rely on respiratory medicine specialist, bronchial lung biopsy (TBLB) and other systemic examination, and finally to confirm the disease This is a principle of diagnosis of the disease.