间质性肺炎如何诊断 叶健 浙江大学医学院附属杭州市第一人民医院
间质性肺炎是指我们的肺泡周围的结构叫肺间质出现了问题，很多患者体检以后发现CT报告上面提示了先进肺炎或者是有一些因为气急咳嗽以后到医院就诊以后，CT报告上提示界内肺炎，间内肺有很多原因，有突发性的肺纤维化，特别是以下肺为主的这种风味样的改变，患者会逐渐出现的缓慢进展的，但有些是比较快的进展的契机，呼吸困难。我们还有什么，就是和自身免疫性疾病相关性的，比如说类风湿关节炎，这种红斑狼疮这种自身免疫疾病相关性的结内肺炎，所以我们如何进行诊断，我们要结合影像学的特点，还要根据一些血清的检测，比如说自身抗体等等，当然我们一些肿瘤性疾病，还有血管性疾病，它也会出现结内肺炎，比如说癌性淋巴管炎，或者是出现一些血管炎的表现，比如说我们我要给他肉芽肿，显微镜下多血管炎，它也会出现这种间质性肺炎的改变，尖锐性肺炎是一个相对疑难的疾病，这一定要到专科呼吸专科进行诊治，而呼吸专科医生也会和学内分泌风湿科的医生一起多学科讨论，来根据的检测结果，影像学特点。甚至我们要做个气管镜活检以后，来制定一个尖锐肺炎的下一步的诊断策略，所以如果大家有尖锐肺炎的诊断，体检发现也是请尽快到呼吸专科门诊就诊，其实我们肺结节病也是我们临床上相对多见的少见病。
How to diagnose interstitial pneumonia
Interstitial pneumonia refers to the structure around our alveoli, which is called interstitial lung disease, After physical examination, many patients found that the CT report indicated advanced pneumonia or some patients went to the hospital for treatment after coughing due to shortness of breath, CT report indicates pneumonia in boundary, There are many reasons for this, There is sudden pulmonary fibrosis, In particular, the following lung based changes in this flavor, The patient will gradually develop slowly, But some are opportunities for faster progress, dyspnea. What else do we have, It's related to autoimmune diseases, For example, rheumatoid arthritis, This is lupus erythematosus, an autoimmune disease associated with intranodal pneumonia, So how do we diagnose, We should combine the characteristics of imaging, According to some serum tests, For example, autoantibodies, Of course, we have some tumor diseases, And vascular disease, It can also develop intranodal pneumonia, For example, cancer lymphangitis, Or some signs of vasculitis, For example, we're going to give him granuloma, Microangitis, It also changes this interstitial pneumonia, Acute pneumonia is a relatively difficult disease, We must go to the respiratory department for diagnosis and treatment, The respiratory specialist will also discuss with the endocrinologists in various disciplines, According to the test results, Imaging characteristics. Even after we do a tracheoscopic biopsy, To develop a diagnosis strategy for acute pneumonia, So if you have a diagnosis of acute pneumonia, If the physical examination is found, please go to the respiratory clinic as soon as possible, In fact, our pulmonary sarcoidosis is also a relatively common clinical disease.
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