机化性肺炎

最后审阅: 2 Sep 2023
最后更新: 17 Nov 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 流感样疾病,伴有低热、疲乏和关节痛
更多 关键诊断因素

其他诊断因素

  • 咳嗽
  • 呼吸短促
  • 双侧湿啰音
其他诊断因素

危险因素

  • 感染性肺炎
  • 结缔组织病
  • 免疫疾病和炎症性肠病
  • 器官移植
  • 用药
  • 乳腺放疗
  • 暴露于毒素
更多 危险因素

诊断性检查

首要检查

  • 胸部 X 线检查
  • 高分辨率胸部 CT 扫描 (HRCT)
  • 全血细胞计数(FBC)
  • 红细胞沉降率
更多 首要检查

需考虑的检查

  • C 反应蛋白
  • 痰培养
  • 非典型病毒筛查
  • 肺功能检查 (PFT)
  • 外科肺活检
  • 肌酸激酶
  • 一般自身免疫和肌炎全套检查
  • 正电子发射计算机断层显像 (PET) 扫描
  • 支气管镜检查
更多 需考虑的检查

治疗流程

初步治疗

急进性 OP

急症处理

隐源性 OP

继发性 OP

持续性治疗

复发性 OP,急进性

复发性 OP,非急进性

撰稿人

作者

O'Neil Green, MBBS, FCCP

Assistant Professor in Medicine

Director, NTM and Bronchiectasis Clinic

UMass Chan School of Medicine/Baystate Health

Worcester

MA

利益声明

OG declares that he has no competing interests.

Jean-Pierre Assaker, MD

Pulmonary and Critical Care Fellow

UMass Chan School of Medicine/Baystate Health

Worcester

MA

利益声明

JA declares that he has no competing interests.

鸣谢

Dr O’Neil Green and Dr Jean-Pierre Assaker would like to gratefully acknowledge Dr Gary R. Epler, the previous contributor to this topic.

利益声明

GRE is an author of several references cited in this topic.

同行评议者

Nazia Chaudhuri, MbChB, BSc, PhD, FRCP

Clinical Lead of ILD Service

Manchester University NHS Foundation Trust

Manchester

UK

利益声明

NC declares that she has no competing interests.

Steven Sahn, MD

Professor of Medicine and Director

Division of Pulmonary/Critical Care/Allergy/Sleep Medicine

Medical University of South Carolina

Charleston

SC

利益声明

SS declares that he has no competing interests.

Teofilo Lee-Chiong, MD

National Jewish Medical and Research Center

Denver

CO

利益声明

TLC has been reimbursed by the American College of Chest Physicians (ACCP), American Academy of Sleep Medicine, American Thoracic Society, and Cephalon, the manufacturer of modafinil, for attending several conferences. He has been paid by the ACCP for running educational programs and by Elsevier for serving as consultant of the Sleep Medicine Clinics. He has also received research funding from the National Institutes of Health, Respironics, Restore, and Schwarz Pharma, and has been a member of the speakers' bureau for GlaxoSmithKline.

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  • 鉴别诊断

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    • 非特异性间质性肺炎 (NSIP)
    更多 鉴别诊断
  • 指南

    • 韩国间质性肺疾病诊断和管理指南:第 4 部分 隐源性机化性肺炎
    • 美国胸科学会/欧洲呼吸学会声明:特发性间质性肺炎的国际多学科分类更新
    更多 指南
  • 患者教育信息

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