[1]熊 倩,江 涛.多发性肌炎、皮肌炎合并肺间质性肺炎的诊治[J].医学信息,2020,33(06):43-46.[doi:10.3969/j.issn.1006-1959.2020.06.013]
 XIONG Qian,JIANG Tao.Diagnosis and Treatment of Polymyositis and Dermatomyositis with Pulmonary Interstitial Pneumonia[J].Medical Information,2020,33(06):43-46.[doi:10.3969/j.issn.1006-1959.2020.06.013]
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多发性肌炎、皮肌炎合并肺间质性肺炎的诊治()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年06期
页码:
43-46
栏目:
综述
出版日期:
2020-03-15

文章信息/Info

Title:
Diagnosis and Treatment of Polymyositis and Dermatomyositis with Pulmonary Interstitial Pneumonia
文章编号:
1006-1959(2020)06-0043-04
作者:
熊 倩江 涛
(重庆医科大学附属第一医院呼吸与危重症医学科,重庆 400000)
Author(s):
XIONG QianJIANG Tao
(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400000,China)
关键词:
多发性肌炎皮肌炎肺间质性疾病
Keywords:
PolymyositisDermatomyositisInterstitial lung disease
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2020.06.013
文献标志码:
A
摘要:
多发性肌炎(PM)、皮肌炎(DM)的死亡原因多种多样,合并肺间质性肺炎是其最主要的死亡原因。在合并间质性肺炎的皮肌炎及多发性肌炎患者中,中性粒细胞与淋巴细胞比值、血浆白蛋白与C反应蛋白比值、铁蛋白、IL-6、IL-8、IL-10明显升高,PM/DM患者的肺功能检查常显示弥散功能较差。HRCT是检测肺部间质性疾病的主要手段,不同类型的间质性肺炎影像学表现不同。目前,关于PM/DM合并间质性肺炎患者的治疗尚未明确规定,本文现就多发性肌炎、皮肌炎合并肺间质性肺炎的血清学检查、肺功能检查、影像学表现以及治疗作一综述。
Abstract:
The causes of death in polymyositis (PM) and dermatomyositis(DM)are various.Complicated pulmonary interstitial pneumonia is the main cause of death.In patients with dermatomyositis and polymyositis with interstitial pneumonia,neutrophil to lymphocyte ratio,plasma albumin to C-reactive protein ratio,ferritin,IL-6,IL-8,IL-10 significantly increased,pulmonary function tests in patients with PM/DM often show poor diffuse function.HRCT is the main method to detect pulmonary interstitial disease,and different types of interstitial pneumonia have different imaging manifestations.At present,the treatment of PM/DM patients with interstitial pneumonia has not been clearly defined, this article is a review of polymyositis,dermatomyositis combined with pulmonary interstitial pneumonia serological examination,lung function examination, imaging manifestations and treatment.

参考文献/References:

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更新日期/Last Update: 2020-03-15