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本文旨在探讨能分别检查气道和肺泡炎性细胞的支气管肺泡灌洗(BAL)的方法,借此区别间质性肺疾患(ILD)病人气道和肺泡炎性细胞的类型及其改变程度。方法全部受检者均为呼吸科住院病人。第1阶段检查23例ILD 病人,其中隐原性纤维性肺泡炎(CFA)4例,类风湿性肺病(RL)3例,石棉肺(ASB)11例,结节病(SARC)5例。第2阶段38例ILD 病人,包括CFA 7例,RL 5例,A8B16例,SARC7例。对照组7人。第1阶段BAL 是在单侧亚段支气管.用25ml 生理盐水灌洗,连续进行4次,对比BALF 中的支气管上皮细胞数量.第2阶段每次用50ml,灌洗2次。后一组先分开检查每分标本(Ⅰ,Ⅱ),然后检查Ⅰ+Ⅱ标本的气道和肺
This article aims to explore ways to examine bronchoalveolar lavage (BAL) in airway and alveolar inflammatory cells, respectively, to distinguish the types of airway and alveolar inflammatory cells in patients with interstitial lung disease (ILD) and their degree of change . Methods All subjects were inpatients with respiratory department. Twenty-three patients with ILD were examined in stage 1, including 4 cases of cryptogenic alveolar fibrosis (CFA), 3 cases of rheumatic lung disease (RL), 11 cases of asbestosis (ASB) and 5 cases of sarcoidosis (SARC). Stage 2 38 patients with ILD, including CFA 7 cases, RL 5 cases, A8B 16 cases, SARC 7 cases. Control group of 7 people. Stage 1 BAL was in a unilateral sub-segment bronchial tube, lavaged with 25 ml normal saline for 4 consecutive runs to compare the number of bronchial epithelial cells in the BALF. After a group of first check each sub-specimens (Ⅰ, Ⅱ), and then check Ⅰ + Ⅱ specimens of the airways and lungs