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
其他诊断因素
- 咳嗽
- 呼吸短促
- 双侧湿啰音
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
诊断性检查
首要检查
- 胸部 X 线检查 (CXR)
- 高分辨率胸部 CT 扫描 (HRCT)
- 全血细胞计数(FBC)
- 红细胞沉降率
需考虑的检查
- 肺功能检查 (PFT)
- 电视辅助胸腔镜活检
- 肌酸激酶
- 抗心磷脂抗体
- 狼疮抗凝物抗体
治疗流程
急进性 BOOP
特发性 BOOP
非特发性 BOOP
复发性 BOOP,急进性
复发性 BOOP,非急进性
撰稿人
作者
Gary R. Epler, MD

Clinical Associate Professor
Harvard Medical School
Boston
MA
利益声明
GRE is an author of several references cited in this topic.
同行评议者
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.
鉴别诊断
- 结节病
- 慢性嗜酸粒细胞性肺炎 (CEP)
- 细支气管间质性肺炎 (BIP)
更多 鉴别诊断指南
- 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
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