论文部分内容阅读
在估价免疫损伤患者的弥漫性肺浸润时支气管肺泡灌洗(BAL)已成为重要的方法。然而,它对局限性肺浸润的作用尚不十分明确。部分局限性肺浸润很可能由细菌引起。作者最近叙述了确定急性细菌性肺炎的一种方法—BAL 半定量培养法(即≥10~4CFU/ml为阳性)。为了检验 BAL 估价免疫损伤患者的局限性或弥漫性肺浸润的效用,作者前瞻性研究38例表现为肺浸润的免疫损伤患者的 BAL。该38例诊断如下:获得性免疫缺陷综合征12例,肾移植9例;白血病8例;淋巴瘤垂例;其他癌症5例。其中15例肺浸润限于2个或不足2个肺段。BAL 按常规方法用240
Bronchial alveolar lavage (BAL) has become an important method in assessing diffuse pulmonary infiltrates in immunocompromised patients. However, its role in localized pulmonary infiltrates is not well understood. Some limitations pulmonary infiltrates are most likely caused by bacteria. The authors recently described a method for the determination of acute bacterial pneumonia - a semiquantitative culture of BAL cells (ie> 10-4 CFU / ml positive). In order to examine the limitations of dialysis immunosuppression in patients with BAL or the utility of diffuse pulmonary infiltrates, we prospectively studied BAL in 38 patients with immune compromised lung infiltrates. The 38 cases were diagnosed as follows: Acquired immunodeficiency syndrome in 12 cases, Kidney transplantation in 9 cases; Leukemia in 8 cases; Lymphoma vertical case; Other cancers in 5 cases. 15 cases of pulmonary infiltration limited to 2 or less than 2 segments. BAL by the conventional method with 240