【摘要】 肺泡灌洗液(BAL)在肺部相关疾病的诊断中有着重要的临床意义,BAL检出特征性多量泡沫样细胞十分罕见。该文报道了4例BAL中检出大量泡沫样细胞的临床病例,4例患者分别确诊为肺腺癌合并鞭虫感染、肺腺癌、肺隐球菌感染、SLE合并抗磷脂抗体综合征及肺栓塞。该4例的诊治经过提示,如BAL检出大量泡沫样细胞,临床可迅速缩小诊断思考范围,可通过完善风湿免疫相关检查、肺部CT增强扫描、隐球菌抗原或寄生虫相关检查、肿瘤相关筛查、询问既往可疑药物及生活环境暴露史等进一步明确诊断。更多还原

【Abstract】 Bronchial alveolar lavage fluid(BAL) plays a pivotal role in the diagnosis of lung diseases. Detection of a large amount of characteristic foamy cells in BAL is rarely encountered. In this article, a large quantity of foamy cells was detected in the BAL of 4 cases. They were diagnosed with pulmonary adenocarcinoma combined with Trichinella infection, pulmonary adenocarcinoma, pulmonary cryptococcal infection, SLE with antiphospholipid antibody syndrome and pulmonary embolism. The diagnosis and treatment of these patients prompted that the range of clinical diagnosis could be rapidly narrowed if a massive amount of foamy cells was detected in the BAL. Moreover, the diagnosis can be confirmed by complete rheumatism immunity-related examination, enhanced CT scan of the lung, Cryptococcus antigen or parasite-related examination, tumor screening, inquiry of medical history of drug use and environmental exposure, etc.更多还原