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目的 探讨肺结节病临床诊断 ,以提高诊断符合率。方法 分析 2 0例肺结节病的临床资料。结果 2 0例肺结节病患者 ,男 7例 ,女 13例 ;年龄 14～ 6 3岁 ,平均 4 1 6岁。主要症状依此为咳嗽 6例 ,胸闷气短 6例 ,红斑 4例 ,视力下降 3例 ,乏力 2例 ,头痛 1例 ,X线及CT检查提示双肺门肿大 19例 ,单侧肺门肿大 1例 ,纵隔淋巴节肿大 12例 ,肺间质纤维化改变 6例 ,双侧少量胸水 3例 ,经纤维支气管镜活检确诊 14例 ,皮肤黏膜及淋巴结活检共确诊 8例。Kveim试验阳性 ,SACE(6 9 8± 12 6 )U/L。结论 肺结节病多见青中年成人 ,女性发病多 ,临床症状不典型 ,在诊断方面需要结合临床表现、胸片及以纤维支气管镜为主的活检进行病理检查。肾上腺皮质激素疗效好
Objective To investigate the clinical diagnosis of pulmonary sarcoidosis in order to improve the diagnostic accuracy. Methods 20 cases of lung sarcoidosis clinical data. Results 20 cases of patients with pulmonary sarcoidosis, 7 males and 13 females; aged 14 to 63 years old, with an average of 4,16 years old. The main symptoms were as follows: 6 cases of cough, 6 cases of chest tightness and shortness of breath, 4 cases of erythema, 3 cases of decreased visual acuity, 2 cases of weakness and 1 case of headache. X-ray and CT examination showed that 19 cases had bilateral hilar enlargement, One case was large, 12 cases had mediastinal lymph node enlargement, 6 cases had interstitial pulmonary fibrosis, 3 cases had bilateral pleural effusion. 14 cases were diagnosed by fiberoptic bronchoscopy and 8 cases were confirmed by biopsy of mucocutaneous and lymph nodes. Kveim test was positive, SACE (69 8 ± 12 6) U / L. Conclusions The incidence of pulmonary sarcoidosis is more than that of young middle-aged adults. The incidence of female is high and the clinical symptoms are not typical. Pathological examination should be performed in combination with clinical manifestations, chest radiographs and biopsy based on fibrobronchoscopy. Cortisol good effect