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为确定口、眼干燥关节炎综合症时肺部受累的发生率和临床分类,作者分析了303例典型病例,其中31例(9％)有肺部受累。女25例,男6例;平均年龄57岁,病程1个月～23年。临床经过:5例胸片初见异常时无症状。最常见症状为咳嗽(23例)和气急(16例)。胸痛3例。均无咯血。仅2例在确诊前3年和9个月已有肺部症状。胸部X线表现有弥漫性间质浸润16例、胸膜渗出5例、弥漫性肺泡损害4例、基底性肺不张和右中叶浸润各2例、粗结节和右肺门增大各1例。22例受检者中16例发现高γ-球蛋白血症,1例低γ-球蛋白血症为假性淋巴瘤。23例受检者中15例IgM增高。22
To determine the incidence and clinical classification of lung involvement in the mouth and eye with dry arthritis syndrome, the authors analyzed 303 typical cases, of which 31 (9%) had pulmonary involvement. 25 females, 6 males; mean age 57 years old, duration of 1 month to 23 years. Clinical experience: 5 cases of chest X-ray showed no symptoms. The most common symptoms were cough (23 cases) and shortness of breath (16 cases). 3 cases of chest pain. No hemoptysis. Only 2 patients had pulmonary symptoms 3 and 9 months prior to diagnosis. Chest X-ray showed diffuse interstitial infiltration in 16 cases, pleural exudation in 5 cases, diffuse alveolar damage in 4 cases, basal atelectasis and right middle infiltration in 2 cases, coarse nodules and right hilar increased 1 example. Twenty-four of 22 subjects were found to have high gamma-globulin and one case of low gamma-globulin was pseudolymphoma. IgM increased in 15 of 23 subjects. twenty two