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肺间质疾病的诊断应有肺弥漫性阴影的X线胸片,然后结合病史、体格检查、实验室常规检查、肺功能等,分析一系列的X线胸片,确定病情的进展情况是急性、慢性,还是处于稳定状态。根据上述资料的分析,然后选择下述的各种检查作为进一步检查诊断的手段。绝大多数的肺间质疾病都能作出正确诊断。通过各种检查仍不能确诊者可考虑作肺活检。一、病史:仔细询问病史可提供有价值的诊断资料,如职业史,尘埃、气体的接触量和时间长短。有的病人虽不在有害环境内工作,但作为周围受害者亦可能患病。家庭史和遗传史亦很重要,如特发性弥漫性肺间质纤维化、结节性硬化症、神经纤维瘤、粘液粘稠症、高歇氏病都有遗传因素。长期用呋喃呾啶、博来霉素等细胞毒药物可引起弥漫性肺间质纤维化。
Pulmonary interstitial disease should be diagnosed with diffuse shadow of chest X-ray, and then combined with history, physical examination, routine laboratory tests, lung function, etc., to analyze a series of X-ray, to determine the progress of the disease is acute Chronic, or in a stable state. According to the analysis of the above information, then select the following kinds of tests as a means of further examination and diagnosis. The vast majority of interstitial lung disease can make the correct diagnosis. Through various tests are still not diagnosed may be considered for lung biopsy. First, the history: Careful medical history can provide valuable diagnostic information, such as occupational history, dust, gas exposure and length of time. Although some patients do not work in harmful environment, they may also become sick as the surrounding victims. Family history and genetic history are also important, such as idiopathic diffuse pulmonary fibrosis, tuberous sclerosis, neurofibromatosis, mucoidosis, Gaucher’s disease has genetic factors. Long-term use furan pyridine, bleomycin and other cytotoxic drugs can cause diffuse pulmonary fibrosis.