课件：重症间质性肺病诊断与治疗.ppt

1. Acute P.Edema Pneumonia 2. Pleural effusion 1.pulmonary edema 2.lymphangitic carcinomatosis 3.lymphoma 4.collagen vascular disease 3.Pneumothorax lymphangioleiomyomatosis LCH 4.Predominantly Below with reduced volume 1.Asbestosis 2. Aspiration (chronic) 3. Pulmonary fibrosis (idiopathic) 4.Collagen vascular disease 鉴别诊断需要参考的其他方面 5. A middle or upper lung predominant Mycobacterial or fungal disease Silicosis Sarcoidosis Langerhans Cell Histiocytosis 6. Associated lymphadenopathy 1.Sarcoidosis 2.neoplasm (lymphangitic carcinomatosis, lymphoma, metastases) 3. infection (viral, mycobacterial, or fungal) 4. silicosis 7. Pleural Thickening and or Calcification Asbestosis 鉴别诊断需要参考的其他方面 二〇一五年九月二十三日 * Interstitial Pulmonary Fibrosis (IPF) is a specific disease distinct from DIP, NSIP, etc. In preceding decades, many of the idiopathic interstitial pneumonias (IIPs) were lumped together into a broad classification, although they were recognized as distinct from other interstitial lung diseases (ILDs) such as sarcoidosis, etc. The various IIPs are now recognized as separate disease entities with distinct histologic characteristics. Usual interstitial pneumonia (UIP) is the histologic characteristic associated with IPF. Related to next slide, which discusses the different time-courses of the different IIPs. Background 4 min No * * US Demographics of IPF Currently, more than 80,000 adults in the United States have IPF, and more than 30,000 new cases are diagnosed each year. Most IPF patients are between 40 and 70 years old at onset. Approximately two-thirds of patients are over 60 years old at presentation, with a mean age of 66 years at diagnosis. The disease is more common in males than in females, but there is no evidence for racial or ethnic predilection. In a recent analysis using age, medical claim, and differential diagnosis criteria, Raghu and colleagues estimate a US prevalence of 89,000 cases and a US incidence of 34,000 new cases per year. American Thorac