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药物性肺炎占药源病的4.1～7.3％。常发生在有肺结核残留灶或其它慢性呼吸道感染、变态反应疾患者。病变先是血管炎,后继发坏疽、空洞形成和合并感染。迄今诊治困难,特别与病毒性、细菌性肺炎及各型肺结核的鉴别诊断尤为复杂。本文报告30例,诊断依据为:有过药物特异反应史,采用某药后病情恶化,出现变态反应症状,停药则好转。13例患过肺结核,临床治愈,10例支气管哮喘史或慢性哮喘性支气管炎。7例有肝胆病史。6例
Drug-induced pneumonia accounted for drug-induced disease 4.1 to 7.3%. Often occurs in residual tuberculosis or other chronic respiratory infections, allergic diseases. Lesions first vasculitis, followed by gangrene, empty formation and infection. So far the diagnosis and treatment difficulties, especially with the viral, bacterial pneumonia and various types of tuberculosis differential diagnosis is particularly complicated. This article reports 30 cases, the diagnosis is based on: a history of drug-specific reactions, the use of a drug after the deterioration of the condition, the symptoms of allergy, withdrawal is improved. Thirteen had pulmonary tuberculosis, were clinically cured, had 10 bronchial asthma history, or had chronic asthmatic bronchitis. Seven cases had a history of hepatobiliary disease. 6 cases