肺栓塞的诊断及进展.pdf
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的运动后呼吸困难; ③疾病持续时间 ≥ 3 个月; ④双侧肺底部
可闻及吸气性爆裂音。
综上所述 , IPF仍是病因不明、进行性进展 ,高度致死性
疾病 ,诊断主要依靠病理组学。目前虽然对 IPF的定义和诊
断已有了国际共识 ,但由于OLB 等方式获取病理组织标本创
伤大 ,不易被患者接受 , IPF的诊断仍然困难重重 ,而其他的
诊断手段仍需进一步深入研究证明其准确性。
参考文献:
[1 ] Flaherty KR ,Toews GB ,Travis WD , et al . Clinical significance of his2
tological classification of idiopathic interstitial pneumonia [J ] . Eur Re2
spir J ,2002 ,19 (2) :2752283.
[2 ] American Thoracic SocietyP European Respiratory Society International
Multidisciplinary Consensus Classification of the idiopathic intersititial
pneumonias[J ] . AmJ Respir Crit Care Med ,2002 ,165(2) :2772304.
[3 ] Selman M,King TE Jr ,Pardo A , et al . Idiopathic pulmonary fibrosis :
prevailing and evolving hypotheses about its pathogenesis and implica2
tions for therapy[J ] . Ann Intern Med ,2001 ,134 (2) :1362151.
[4 ] Rystal RG,Bitterman PB ,Mossman B , et al . Future research direction
in idiopathic pulmonary fibrosis :summary of a national heart ,lung ,and
blood institute working group [J ] . Am J Respir Crit Care Med ,2002 ,166(2) :2362246.
[5 ] Takahashi H ,Fujishima T ,Koba H , et al . Serum surfactant proteins A
and D as prognostic factors in idiopathic pulmonary fibrosis and their
relationship to disease extent [J ] . Am J Respir Crit Care Med ,2000 ,162(3) :110921114.
[6 ] Greene KE ,King TE ,Kuroki Y, et al . Serum surfactant proteins2A and
2D as biomarkers in idiopathic pulmonary fibrosis [J ] . Eur Respir J ,2002 ,19 (3) :4392446.
[7 ] Lama VN ,Flaherty KR ,Colby TV , et al . Exercise induced desaturation
and mortality in usual interstitial pneumonia (UIP) [J ] . Am J Respir
Crit Care Med ,2003 ,167 (9) :1084.
[8 ] Fulmer JD ,Roberts WC ,Von Gall ER , et al . Morphologic physiologic
correlates of the severity of fibrosis and degree of cellularity , in idio2
pathic pulmonary fibrosis[J ] . Clin Invest ,1998 ,63(3) :6652676.
[9 ] Latsi PI ,du Bois RM,Nicholson AG, et al . Fibrotic idiopathic intersti2
tial pneumonia : the prognostic value of longitudinal functional trends
[J ] . AmJ Respir Crit Care Med ,2003 ,168 (5) :5312537.
[10 ] Aziz ZA ,Wells AU ,Hansell DM, et al . HRCT diagnosis of diffuse pa2
renchymal lung disease : inter2 observer variation [J ] . Thorax ,2004 ,59
(6) :5062511.
[11 ] Lynch DA , Godwin JD , Safrin S , et al . High2resolution computed to2
mography in idiopathic pulmonary fibrosis diagnosis and prognosis[J ] .
AmJ Respir Crit Care Med ,2005 ,172(4) :4882493.
[12 ] Flaherty KR ,Travis WD ,Colby TV , et al . Histopathologic variability in
usual and nonspecific intersititial pneumonias [ J ] . Am J Respir Crit
Care Med ,2001 ,164 (9) :177221727.
[13 ] Best AC ,Lynch AM,Bozic CM, et al . Quantitative CT indexes in idio2
pathic pulmonary fibrosis :relationship with physiologic impairment [J ] .
Radiology ,2003 ,228 (2) :4072414.
[14 ] Hunninghake GW,Zimmernan MB ,Schwartz DA , et al . Utility of a lung
biopsy for the diagnosis of idiopathic pulmonary fibrosis[J ] . Am J Re2
spir Crit Care Med ,2001 ,164 (2) :1932196.
[15 ] American Thoracic SocietyP European Respiratory Society ERS. Idio2
pathic pulmonary fibrosis :diagnosis and treatment international consen2
sus statement [J ] . AmJ Respir Crit Care Med ,2000 ,161(2) :6462664.
[16 ] Bjoraker JA ,Ryu JH ,Edwin MK, et al . Prognostic significance of his2 ......
可闻及吸气性爆裂音。
综上所述 , IPF仍是病因不明、进行性进展 ,高度致死性
疾病 ,诊断主要依靠病理组学。目前虽然对 IPF的定义和诊
断已有了国际共识 ,但由于OLB 等方式获取病理组织标本创
伤大 ,不易被患者接受 , IPF的诊断仍然困难重重 ,而其他的
诊断手段仍需进一步深入研究证明其准确性。
参考文献:
[1 ] Flaherty KR ,Toews GB ,Travis WD , et al . Clinical significance of his2
tological classification of idiopathic interstitial pneumonia [J ] . Eur Re2
spir J ,2002 ,19 (2) :2752283.
[2 ] American Thoracic SocietyP European Respiratory Society International
Multidisciplinary Consensus Classification of the idiopathic intersititial
pneumonias[J ] . AmJ Respir Crit Care Med ,2002 ,165(2) :2772304.
[3 ] Selman M,King TE Jr ,Pardo A , et al . Idiopathic pulmonary fibrosis :
prevailing and evolving hypotheses about its pathogenesis and implica2
tions for therapy[J ] . Ann Intern Med ,2001 ,134 (2) :1362151.
[4 ] Rystal RG,Bitterman PB ,Mossman B , et al . Future research direction
in idiopathic pulmonary fibrosis :summary of a national heart ,lung ,and
blood institute working group [J ] . Am J Respir Crit Care Med ,2002 ,166(2) :2362246.
[5 ] Takahashi H ,Fujishima T ,Koba H , et al . Serum surfactant proteins A
and D as prognostic factors in idiopathic pulmonary fibrosis and their
relationship to disease extent [J ] . Am J Respir Crit Care Med ,2000 ,162(3) :110921114.
[6 ] Greene KE ,King TE ,Kuroki Y, et al . Serum surfactant proteins2A and
2D as biomarkers in idiopathic pulmonary fibrosis [J ] . Eur Respir J ,2002 ,19 (3) :4392446.
[7 ] Lama VN ,Flaherty KR ,Colby TV , et al . Exercise induced desaturation
and mortality in usual interstitial pneumonia (UIP) [J ] . Am J Respir
Crit Care Med ,2003 ,167 (9) :1084.
[8 ] Fulmer JD ,Roberts WC ,Von Gall ER , et al . Morphologic physiologic
correlates of the severity of fibrosis and degree of cellularity , in idio2
pathic pulmonary fibrosis[J ] . Clin Invest ,1998 ,63(3) :6652676.
[9 ] Latsi PI ,du Bois RM,Nicholson AG, et al . Fibrotic idiopathic intersti2
tial pneumonia : the prognostic value of longitudinal functional trends
[J ] . AmJ Respir Crit Care Med ,2003 ,168 (5) :5312537.
[10 ] Aziz ZA ,Wells AU ,Hansell DM, et al . HRCT diagnosis of diffuse pa2
renchymal lung disease : inter2 observer variation [J ] . Thorax ,2004 ,59
(6) :5062511.
[11 ] Lynch DA , Godwin JD , Safrin S , et al . High2resolution computed to2
mography in idiopathic pulmonary fibrosis diagnosis and prognosis[J ] .
AmJ Respir Crit Care Med ,2005 ,172(4) :4882493.
[12 ] Flaherty KR ,Travis WD ,Colby TV , et al . Histopathologic variability in
usual and nonspecific intersititial pneumonias [ J ] . Am J Respir Crit
Care Med ,2001 ,164 (9) :177221727.
[13 ] Best AC ,Lynch AM,Bozic CM, et al . Quantitative CT indexes in idio2
pathic pulmonary fibrosis :relationship with physiologic impairment [J ] .
Radiology ,2003 ,228 (2) :4072414.
[14 ] Hunninghake GW,Zimmernan MB ,Schwartz DA , et al . Utility of a lung
biopsy for the diagnosis of idiopathic pulmonary fibrosis[J ] . Am J Re2
spir Crit Care Med ,2001 ,164 (2) :1932196.
[15 ] American Thoracic SocietyP European Respiratory Society ERS. Idio2
pathic pulmonary fibrosis :diagnosis and treatment international consen2
sus statement [J ] . AmJ Respir Crit Care Med ,2000 ,161(2) :6462664.
[16 ] Bjoraker JA ,Ryu JH ,Edwin MK, et al . Prognostic significance of his2 ......
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