间质性肺炎英文课件

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1、INTERSTITIALLUNGDISEASE间质性肺病ConceptionofILD(DPLD)ILDisaspectrumofnon-infectious,non-neoplasticdiseasesinvolvingpredominatelythealveolarwallandperialveolartissueandsurroundingarchitecture.DPLD(DiffuseParenchymalLungDisease):bronchiolesandparenchymaMedicalTerminologyI

2、nterstitiallungdisease（ILD）间质性肺病Diffuseparenchymallungdisease(DPLD)弥漫性肺实质肺病Idiopathicinterstitialpneumonia（IIP）特发性间质性肺炎Idiopathicpulmonaryfibrosis（IPF）特发性肺纤维化Usualinterstitialpneumonia(UIP)普通性间质性肺炎Non-specificinterstitialpneumonia(NSIP)非特异性间质性肺炎Cryptogenicorganizing

3、pneumonia（COP）隐原性机化性肺炎Acuteinterstitialpneumonia(AIP)急性间质性肺炎Desquamativeinterstitialpneumonia(DIP)脱屑性间质性肺炎Respiratorybronchiolitis-associatedinterstitiallungdisease(RB-ILD)呼吸细支气管炎间质性肺炎Lymphocyticinterstitialpneumonia(LIP)淋巴细胞性间质性肺炎Granulomatous肉芽肿的Sarcoidosis结节病Lymp

4、hangioleiomyomatosis淋巴管平滑肌瘤Histiocytosis(HX)组织细胞增多症Reticular网格状Nodule(nodular)结节Groundglassopacity(GGO)磨(毛)玻璃影Bronchiectasis支气管扩张Honeycombing蜂窝Diffusioncapacity弥散量Bronchoalveolarlavarge(BAL)肺泡灌洗Transbronchoscopiclungbiopsy(TBLB)经气管镜肺活检Crackle爆裂音ClassificationofILDby

5、ATS/ERS2002IDIOPATHICINTERSTITIALPNEUMONIA(IIP)GRANULOMATOSISsarcoidosisHypersensitivepneumonitisWegener'sgranulomatosis,RAREILDalv.proteinosisalv.hemorrhage-nephritissyndromeLangerhanscellhistiocytosisLymphangioleiomyomatosisIdiopathicpulmonaryHemosiderosisChronice

6、osinophilicpneumoniaILDofknowncausesOccupationallungdisease(pneumoconiosis)Drug-inducedlungdiseaseConnectivediseaseassociatedILDILDofUnknownCausesAMERICANJOURNALOFRESPIRATORYANDCRITICALCAREMEDICINEVOL1652002EPIDEMIOLOGYILDaccountsfor100,000hospitaladmissionsyearly15

7、%ofpatientsseenbypulmonologistsnationwide.incidenceandprevalenceofILD(5/100,000)intheUSNewMexico:overallprevalenceofILDwas80.9per100,000inmalesand67.2per100,000infemalesincidenceofILDwas31.5per100,000inmenand26.1per100,000inwomen.Idiopathicpulmonaryfibrosisrepresent

8、ed45%ofthepatientbase.CLINICALEVALUATION--HistoryLengthOfIllnessAndClinicalCourseAcuteonset:daystoweeksAcuteinterstitialpneumoniaAcutepneu