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弥漫性全细支气管炎(DPB)较少见,但在成人T细胞白血病(ATL)患者中较易发生。ATL的主要死因是呼吸道并发症,甚至在白血病不发作时。作者报告了1982年至1987年间收治的43例ATL中并发DPB 3例。例1为59岁女性患者,因咳痰及发热于1984年9月入院。下胸部闻及细湿罗音。外周血未见异型淋巴细胞。胸部X线检查发现两肺弥漫性小结节阴影伴膨胀过度。肺组织活检为炎症浸润,未见异型淋巴细胞,诊断为DPB。1985年10月因呼吸困难而再入院。查血白细胞9200/μl,异型淋巴细胞(ATL细胞)占3%,HTLV-I抗体阳性1∶40,以后外周血中ATL细
Diffuse panbronchiolitis (DPB) is rare but is more likely to occur in patients with adult T-cell leukemia (ATL). The leading cause of death in ATL is respiratory complications, even in the absence of leukemia. The authors reported three cases of concurrent DPB in 43 cases of ATL treated between 1982 and 1987. Example 1 A 59-year-old female patient admitted to hospital in September 1984 for expectoration and fever. Lower thorax smell fine wet rales. No abnormal peripheral blood lymphocytes. Chest X-ray examination revealed diffuse small nodules in both lungs with excessive expansion of the shadow. Biopsy of lung tissue infiltrated with inflammation, no abnormal lymphocytes, DPB diagnosis. October 1985 re-admitted due to breathing difficulties. Check the white blood cells 9200 / l, atypical lymphocytes (ATL cells) accounted for 3%, HTLV-I antibody positive 1:40, later in the peripheral blood ATL thin