6 cases of clinical analysis of acute interstitial pneumonia.docVIP

 PAGE \* MERGEFORMAT 8 6 cases of clinical analysis of acute interstitial pneumonia [Keywords:] acute interstitial pneumonia Acute interstitial pneumonia (acute interstitial pneumonitis, AIP) is a kind of diffuse lung infiltration and rapid development of respiratory failure characterized by pulmonary disease, idiopathic interstitial pneumonia is a subtype. This study of six cases of AIP in patients with clinical features, treatment and prognosis after conducting a retrospective study. A clinical data Choose from April 2005 to December 2007 Sir Run Run Shaw Hospital, 6 patients received living AIP patients, 3 cases were males and 3 females, mean age (63.67 ± 1.73) years of age; course 6d ~ 1 month on average (46.47 ± 6.94) d; 6 All patients showed progressive increase in short-term dry cough and breathing difficulty. 1 case complicated course of disease in the mediastinum and subcutaneous emphysema, 1 case of subcutaneous emphysema. Physical examination showed 6 patients suffered from respiratory frequency was significantly increased fast, lungs and the Velcro sound can be heard. Laboratory examination: white blood cell count 4.81 * 109 / L ~ 15.50 * 109 / L, erythrocyte sedimentation rate 13mm/hr ~ 89mm/hr; 1 Li ANA1: 100 particle type; arterial blood gas analysis showed type I respiratory failure, and the emergence of progressive decline in PaO2 , oxygenation index amp;quot;200 (76.84 ~ 197.61). 6 patients suffered from varying degrees of image changes. With CT were divided into six: normal image (1 min), ground-glass-like changes (2 points), consolidation (3 points), ground-glass-like changes with traction bronchiectasis (4 points), consolidation with traction bronchiectasis (5 points), honeycomb lung (6 points), by measuring the lung 3 lung zones on each side of each of the scope of an anomaly to obtain the total score. 6 patients with CT score of 12 to 28 minutes. 6 patients have received 2 ~ 7d-day broad-spectrum antibiotic therapy, the treatment i