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快速进展型放射性肺炎1例并文献复习

Rapidly progressive radiation pneumonitis: a case report and literature review

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【作者】 郭飞张蓓宋俊梅李媛媛别俊

【Author】 GUO Fei;ZHANG Bei;SONG Junmei;LI Yuanyuan;BIE Jun;Nanchong Hospital of Traditional Chinese Medicine Affiliated to North Sichuan Medical College;Beijing Anzhen Hospital Affiliated to Capital Medical University Nanchong Hospital/Nanchong Central Hospital;

【通讯作者】 别俊;

【机构】 川北医学院附属南充市中医医院首都医科大学附属北京安贞医院南充医院/南充市中心医院

【摘要】 放射性肺炎(RP)是胸部肿瘤经放射治疗后,在肺部放射野内受到损伤而引起的炎症反应,其中快速进展型则是一种较为严重的类型,其通常在放射治疗后较短时间内(4~12周)迅速进展,表现为严重的肺部炎症和纤维化。快速进展型RP的早期阶段不易发现,晚期发现时往往又预后不佳,甚至导致呼吸衰竭、死亡。该文报道了1例快速进展型RP,以期为该疾病的早期诊断、预测和治疗提供参考。

【Abstract】 Radiation pneumonitis(RP) is an inflammatory response caused by damage to the lung radiation field after radiation therapy for chest tumors.Among them, the rapidly progressing type is a more serious type, which usually progresses rapidly within a short period of time(4-12 weeks) after radiation therapy, manifested as severe lung inflammation and fibrosis.The early stages of rapid progressive RP are difficult to detect, and when discovered in the late stages, the prognosis is often poor, even leading to respiratory failure and death.The article reports a case of rapidly progressing RP,aiming to provide reference for early diagnosis, prediction, and treatment of the disease.

【基金】 四川省科学技术厅重大专项课题(2023YFS0473);四川省南充市市校科技战略合作课题(20SXQT0257)
  • 【文献出处】 现代医药卫生 ,Journal of Modern Medicine & Health , 编辑部邮箱 ,2025年12期
  • 【分类号】R730.55
  • 【下载频次】24
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