結節病四例診治體會_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

 丁雁啟 ¹ , 李合友 ¹ , 袁雪芹 ²

1. ;
2. ;

Corresponding?author：

丁雁啟, Email: dyqdoctor@126.com

Keywords：

結節病; 診斷; 治療

DOI：

10.7507/1671-6205.2016025041

Video：

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目的探討結節病的臨床特點和診斷方法。方法回顧性分析我院2012年4月至2015年9月經病理學確診的4例結節病患者的臨床及影像學資料。結果 4例結節病患者中，男3例，女1例，年齡23~70歲。3例患者臨床表現為咳嗽、胸悶和氣促，其中1例以腮腺腫大為主要表現；另1例無明顯臨床癥狀。胸部CT均顯示肺門及縱隔淋巴結腫大。患者均經淋巴活檢、腮腺外科活檢。給予糖皮質激素治療效果良好。結論結節病較少見，臨床表現無特異性，臨床易誤診。對肺門及縱隔淋巴結腫大病例，應盡早行病理學檢查以明確診斷。結節病治療首選糖皮質激素。

Citation： 丁雁啟, 李合友, 袁雪芹. 結節病四例診治體會. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(2): 176-178. doi: 10.7507/1671-6205.2016025041 Copy

1.	?張悅, 韓鋒鋒, 郭雪君, 等.多系統結節病誤診為淋巴瘤一例并文獻分析.中國呼吸與危重監護雜志, 2014, 13: 185-189.
2.	徐作軍.結節病.實用診斷與治療雜志, 2006, 20: 161-164.
3.	Boeck C.Multiple benign hud-sarkoid.Norsck Laegevidensk, 1899, 60:1321.
4.	Iannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. N Engl J Med, 2007, 357:2153-2165.
5.	Sharma N, Tariq H, Uday K, et al.Hypercalcemia, anemia, and acute kidney injury: a rare presentation of sarcoidosis. Case Rep Med, 2015, 2015: 565243.
6.	Little BP. Sarcoidosis: overview of pulmonary manifestations and imaging. Semin Roentgenol, 2015, 50:52-64.
7.	張春陽, 張新紅, 馮華松, 等. 肺結節病合并胸腔積液14例診治分析.臨床肺科雜志, 2010, 16: 1531-1532.
8.	王峰, 童朝暉, 王臻, 等.結節病胸膜病變合并胸前積液六例報告及文獻復習.中華結核和呼吸雜志, 2015, 38: 99-104.
9.	ATS/ERS/WASOG.Committee: Statement on sarcoidosis. Am J Respir Crit Care Med, 1999, 160: 736-755.
10.	張立群, 劉振千, 吳曉光, 等. 結節病診斷的研究進展. 中國臨床醫生, 2011, 39: 19-22.
11.	Mandal SK, Ghosh S, Mondal SS, et al. Coexistence of pulmonary tuberculosis and sarcoidosis: a diagnostic dilemma. BMJ Case Rep, 2014, 2014. pii: bcr2014206016.

1. ?張悅, 韓鋒鋒, 郭雪君, 等.多系統結節病誤診為淋巴瘤一例并文獻分析.中國呼吸與危重監護雜志, 2014, 13: 185-189.
2. 徐作軍.結節病.實用診斷與治療雜志, 2006, 20: 161-164.
3. Boeck C.Multiple benign hud-sarkoid.Norsck Laegevidensk, 1899, 60:1321.
4. Iannuzzi MC, Rybicki BA, Teirstein AS. Sarcoidosis. N Engl J Med, 2007, 357:2153-2165.
5. Sharma N, Tariq H, Uday K, et al.Hypercalcemia, anemia, and acute kidney injury: a rare presentation of sarcoidosis. Case Rep Med, 2015, 2015: 565243.
6. Little BP. Sarcoidosis: overview of pulmonary manifestations and imaging. Semin Roentgenol, 2015, 50:52-64.
7. 張春陽, 張新紅, 馮華松, 等. 肺結節病合并胸腔積液14例診治分析.臨床肺科雜志, 2010, 16: 1531-1532.
8. 王峰, 童朝暉, 王臻, 等.結節病胸膜病變合并胸前積液六例報告及文獻復習.中華結核和呼吸雜志, 2015, 38: 99-104.
9. ATS/ERS/WASOG.Committee: Statement on sarcoidosis. Am J Respir Crit Care Med, 1999, 160: 736-755.
10. 張立群, 劉振千, 吳曉光, 等. 結節病診斷的研究進展. 中國臨床醫生, 2011, 39: 19-22.
11. Mandal SK, Ghosh S, Mondal SS, et al. Coexistence of pulmonary tuberculosis and sarcoidosis: a diagnostic dilemma. BMJ Case Rep, 2014, 2014. pii: bcr2014206016.

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結節病四例診治體會

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