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生物燃料暴露患者支气管炭末沉着的临床特征分析

Clinical characteristics of bronchial anthracosis in patients with biofuel exposure

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【作者】 祁春雷苏小静

【Author】 QI Chunlei;SU Xiaojing;Department of Respiratory Medicine,the First Hospital of Yinchuan;Outpatient Department,The First Hospital of Yinchuan;

【机构】 宁夏银川市第一人民医院呼吸内科宁夏银川市第一人民医院门诊部

【摘要】 目的分析生物燃料暴露后出现气管黏膜炭末沉着患者的临床特征,提高对生物燃料暴露所致肺部疾病的认识。方法 35例具有生物燃料暴露史的支气管炭末沉着患者,对其一般情况、临床诊断、气管镜检查、支气管病变部位、病理检查等资料做回顾性分析。结果 35例患者诊断以慢性阻塞性肺疾病为主,占54.28%;影像学资料显示71.43%的患者表现为肺不张;组织病理特征以慢性炎症为主,占79.17%。结论生物燃料暴露后出现气管黏膜炭末沉着患者的病理改变以慢性炎症为主,临床诊断主要为慢阻肺及肺间质疾病,同时肺结核和肺恶性肿瘤亦须重视。

【Abstract】 Objective To analyze the clinical characteristics of patients with tracheal mucosa carbon dust deposition after biofuel exposure in order to improve the understanding of lung diseases caused by biofuel exposure.Methods A retrospective analysis was conducted on 35 patients with bronchocharcoal deposition who had a history of biofuel exposure,including their general situation,clinical diagnosis,tracheoscopy and pathological examination of bronchial lesions.Results The main diagnosis was COPD(54.28%). Imaging data showed that 71.43% of the patients presented atelectasis. The histopathological features were mainly chronic inflammation(79.17%).Conclusion Chronic inflammation is the main pathological changes in patients with tracheal mucosa carbon dust deposition after biofuel exposure,and the clinical diagnosis is mainly chronic obstructive pulmonary disease and pulmonary interstitial disease. At the same time,it is also necessary to pay more attention for tuberculosis and pulmonary malignancy.

【基金】 宁夏医科大学科研基金资助项目(XM2018060)
  • 【文献出处】 宁夏医学杂志 ,Ningxia Medical Journal , 编辑部邮箱 ,2020年06期
  • 【分类号】R562
  • 【被引频次】1
  • 【下载频次】22
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