IPF的诊断和治疗现状教程.ppt

ＩＰＦ的诊断和治疗;概述;DPLD的分类;病因学;流行病学资料;发病机制;;;临床特征;实验室检查;肺功能改变;自然病史和预后;IPF的急性加重;IPF的急性加重;IPF与肺动脉高压;IPF与肺气肿;IPF与肺气肿;IPF与肺癌;Ｘ线检查的价值;;ＣＴ扫描的价值;１.Bilateral, peripheral, 　　 　subpleural reticular 　infiltrates are 　evident. ２.The presence of 　advanced fibrosis is 　indicated by 　honeycomb changes 　 　(arrowhead) ３. traction bronchiectasis (arrow). These features permit experienced clinicians to make a confident radiographic diagnosis of IPF. ;;HRCT金标准相对照;1.A peripheral distribution of reticular opacities is demonstrated. 2.Honeycombing and traction bron- chiectasis are notably absent. In the absence of specific find- ings, a surgical lung biopsy was needed to make a diagnosis. * ;HRCT不尽如人意之处;阅读影像资料时应注意;其它辅助检查;诊断标准;诊断标准;鉴别诊断;;;UIP与NSIP影像特征的区别;NSIP;NSIP;UIP;COP;COP;不典型COP;RB-ILD;RB-ILD;DIP;DIP;LIP;AIP急性期;AIP慢性期;预测预后的几个指标;药物治疗;药物治疗;药物治疗;非药物治疗;目前存在的问题;今后努力的方向;未来治疗的可能途径;未来治疗的可能途径;未来治疗的可能途径;未来治疗的可能途径;谢谢