[儿童间质性肺病的现代认识]。

Q3 Medicine Vestnik Rossiiskoi Akademii Meditsinskikh Nauk Pub Date : 2015-01-01
E V Boĭtsova, M A Beliashova, D Iu Ovsiannikov
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引用次数: 0

摘要

间质性肺病(ILD,弥漫性肺病)是一种异质性疾病,其病理过程主要涉及肺泡和肺泡周围间质,导致气体交换受损,肺通气功能限制性改变和x线可检测的弥漫性间质改变。儿童间质性肺疾病是儿科肺科的热点问题。本文介绍了这些罕见病的分类、流行病学、临床表现、诊断、治疗和预后等方面的最新情况。本文介绍了儿童ILD与成人ILD在结构、发病机制、各种组织学变化的检测等方面的差异。作者引用了一个登记的儿童ILD患者的实例。ILD的临床符号学,可能的客观研究结果,症状的频率,病史的特点,胸部x线检查的变化,CT符号学详细描述。特别注意的是间质性肺病,主要发生在新生儿和两岁以内的儿童身上,如表面活性剂蛋白质先天缺乏、婴儿期神经内分泌细胞增生、肺间质性糖原症。本文介绍了儿童ILD的诊断方案和治疗方案。
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[Modern Views on Children's Interstitial Lung Disease].

Interstitial lung diseases (ILD, diffuse lung diseases) are a heterogeneous group of diseases in which a pathological process primarily involved alveoli and perialveolar interstitium, resulting in impaired gas exchange, restrictive changes of lung ventilation function and diffuse interstitial changes detectable by X-ray. Children's interstitial lung diseases is an topical problem ofpediatricpulmonoogy. The article presents current information about classification, epidemiology, clinical presentation, diagnostics, treatment and prognosis of these rare diseases. The article describes the differences in the structure, pathogenesis, detection of various histological changes in children's ILD compared with adult patients with ILD. Authors cite an instance of registers pediatric patients with ILD. The clinical semiotics of ILD, the possible results of objective research, the frequency of symptoms, the features of medical history, the changes detected on chest X-rays, CT semiotics described in detail. Particular attention was paid to interstitial lung diseases, occurring mainly in newborns and children during the first two years of life, such as congenital deficiencies of surfactant proteins, neuroendocrine cell hyperplasia of infancy, pulmonary interstitial glycogenosis. The diagnostic program for children's ILD, therapy options are presented in this article.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
31
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