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目的:研究慢性阻塞性肺疾病合并肺间质纤维化的临床诊断要点。方法:选取2012年1月至2013年1月收治的37例慢性阻塞性肺疾病合并肺间质纤维化患者为实验组,37例慢性阻塞性肺疾病患者为对象组,对两组研究对象的患病时间、肺功能情况、吸烟情况和用力呼吸容积等临床特征和检查结果进行对比。结果:实验组吸烟人群的时间、比例和患病时间均高于对照组;实验组Velcro啰音和杵状指低于对照组,实验组叩诊清音高于对照组;实验组单位时间内呼气容积低于对照组(P<0.05)。结论:当慢性阻塞性肺疾病患者出现叩诊清音高、Velcro啰音和杵状指低和每秒用力呼吸容积低时,医生应该注意患者出现合并肺间质纤维化的可能,并及时的进行治疗。
Objective: To study the clinical diagnosis of chronic obstructive pulmonary disease with pulmonary fibrosis. Methods: From January 2012 to January 2013, 37 patients with chronic obstructive pulmonary disease and pulmonary fibrosis were selected as the experimental group and 37 patients with chronic obstructive pulmonary disease as the experimental group. Prevalence of illness, lung function, smoking status and forced respiratory volume and other clinical features and test results were compared. Results: The time, proportion and prevalence of smokers in the experimental group were higher than those in the control group. The Velcro rales and clubbing fingers in the experimental group were lower than those in the control group, and the peristaltic tone was higher in the experimental group than in the control group. In the experimental group, Volume was lower than the control group (P <0.05). CONCLUSIONS: When patients with chronic obstructive pulmonary disease have a high percussion voice, a low Velcro rash and clubbing, and a low forced breathing volume per second, they should pay attention to the possibility of pulmonary interstitial fibrosis in patients and prompt treatment .