论文部分内容阅读
目的：观察ＩＬＤ患者ＬＥＰ的改变及糖皮质类固醇对ＬＥＰ的影响。材料和方法：１２例临床或病理诊断为ＩＬＤ患者。１０名健康人作对照组。采用喷气雾化器吸入９９ｍＴｃＤＴＰＡ气溶胶测定ＬＥＰ。结果：ＩＬＤ患者左肺、左肺上野、左肺中野、右肺、右肺中野的ＬＥＰ显著升高。左肺上野的Ｔ１／２与ＤＬＣＯ、ＤＬＣＯ％及ＰａＯ２呈正相关。结论：（１）临床观察ＩＬＤ患者的ＬＥＰ，尤应注意肺中野；（２）ＬＥＰ与ＤＬＣＯ及ＰａＯ２存在较好的一致性；（３）类固醇并不能改善ＩＬＤ不可逆病变的ＬＥＰ。
Objective: To observe the changes of LEP in patients with ILD and the effect of glucocorticoid on LEP. Materials and Methods: Twelve patients with ILD were diagnosed clinically or pathologically. 10 healthy people as control group. Using jet nebulizer inhalation 99mTc DTPA aerosol determination of LEP. Results: LEP in left lung, left upper field, left middle field, right lung and right lung of ILD patients were significantly increased. T1 / 2 in the left lung Ueno was positively correlated with Dlco, Dlco% and PaO2. Conclusions: (1) Clinical observation of LEP in patients with ILD should be paid more attention to the middle of the lung; (2) There is a good agreement between LEP and DLCO and PaO2; (3) Steroid does not improve LEP in irreversible lesions of ILD.