小结
定义
病史和体格检查
关键诊断因素
- 职业暴露
- 暴露持续时间越长
- 吸烟史
其他诊断因素
- 劳力性呼吸困难
- 咳嗽
- 爆裂音
- 间接暴露
- 胸痛
- 杵状指
危险因素
- 吸入的石棉累积量
- 吸烟
诊断性检查
首要检查
- CXR:正位(PA)和侧位片
- 肺功能检查 (PFT)
需考虑的检查
- 高分辨率胸部 CT 扫描
- 肺活组织检查
- 支气管灌洗
治疗流程
所有患者
撰稿人
作者
Kenneth D. Rosenman, MD
Professor of Medicine
Division of Occupational and Environmental Medicine
Michigan State University
East Lansing
MI
利益声明
KDR has been an expert witness for both defendants and plaintiffs in work-related lawsuits concerning asbestos exposure. KDR is also the author of several papers referenced in this topic.
同行评议者
Henry A. Anderson, MD
Chief Medical Officer
Wisconsin Division of Public Health
Madison
WI
利益声明
HAA declares that he has no competing interests.
Keir Lewis, MD
Senior Clinical Lecturer
Institute of Life Sciences
Swansea University
Swansea
UK
利益声明
KL declares that he has no competing interests.
Thomasz J. Kuzniar, MD, PhD
Assistant Professor
Division of Pulmonary and Critical Care Medicine
Evanston Northwestern Healthcare
Evanston
IL
利益声明
TJK declares that he has no competing interests.
鉴别诊断
- 特发性肺纤维化
- 结缔组织病
- 过敏性肺炎(HP)
更多 鉴别诊断指南
- 恶性胸膜间皮瘤:ESMO 诊断、治疗和随访的临床建议
- 共识报告:石棉、石棉沉着病和癌症:Helsinki 诊断和归因标准 2014 年版
更多 指南登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明