隐源性机化性肺炎9例临床分析

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1、授予单位代码10089学号或申请号20153153中国图书分类号R56HebeiMedicalUniversity硕士学位论文专业学位隐源性机化性肺炎9例临床分析研究生：韩慧导师：阎锡新教授专业：内科学二级学院：河北医科大学第二医院2018年3月目录中文摘要············································································································1英文摘要··························································

2、··················································2英文缩写············································································································4研究论文隐源性机化性肺炎9例临床分析前言············································································································6材料与方法··

3、······························································································7结果··········································································································8附图······························································································

4、············11附表··········································································································14讨论··········································································································17结论································································

5、··········································21参考文献··································································································22综述隐源性机化性肺炎研究进展································································26致谢······································································

6、············································45个人简历··········································································································46中文摘要隐源性机化性肺炎9例临床分析摘要目的：通过分析隐源性机化性肺炎患者的资料，总结临床、影像、病理学等特点，提高临床医生对疾病的认识及诊断水平，减少漏诊、误诊。方法：回顾性分析2012.1-2017.12河北医科大学第二医院呼吸科确诊为隐源性机化性肺炎的病例共9例。对其流行病学、

7、临床表现、实验室检查、影像学检查、病理学特征等进行分析及总结。结果：9例患者中，男性5例，女性4例，平均发病年龄55.44±18.49岁，非吸烟者占77.78%，均否认特殊接触史。亚急性起病，病史长短中位数23天（最长可达180天）。临床以咳嗽、呼吸困难、发热为主，还可伴有乏力等全身症状，体格检查可见爆裂音或湿啰音。血沉、C-反应蛋白升高，血气分析示低氧血症，肺功能呈弥散功能合并限制性通气功能障碍