类风湿性关节炎并类风湿肺结节一例及文献复习

来源 :中华医学会呼吸病学年会——2013第十四次全国呼吸病学学术会议 | 被引量 : 0次 | 上传用户:wxtncxmmm
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目的 提高对类风湿肺结节临床及影像学特点的认识.方法 分析2008年7月收治的1例类风湿肺结节患者的临床资料及诊治经过,并结合相关文献进行复习.结果 患者女,74岁.间断咳嗽,痰中带血10余年.15年前曾诊断为"类风湿性关节炎".肺CT提示双肺多发大小不等结节,并见大小不等空洞形成,血沉130m m/h;类风湿因子1290 IU/ml;于右肺下叶结节行经皮肺活检,病理回报为纤维组织,炎性肉芽组织及坏死物.诊断类风湿肺结节,类风湿性关节炎.
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