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结节病为原因不明的多系统疾患,肺最常受累,90％以上的病员胸片显示异常,本病分为四个阶段:①双侧肺门淋巴结肿大;②第一期伴肺部浸润,③双侧肺部浸润;④晚期肺纤维变并有肺大疱形成。本文报告一组180例结节病中少见的肺部表现。13例胸膜受累(胸腔积液8例,气胸5例),胸水中淋巴细胞增多(3例)、蛋白增高(5例大于4克/100毫升)。胸水量均较少,多在6个月内自行消退。5例气胸患者中2例曾开胸,发现非干酪性肉芽肿广泛侵犯胸膜,气胸的发生和胸膜下肉芽肿坏死有关。
Sarcoidosis is an unknown cause of multiple system diseases, the most common lung involvement, more than 90% of the patient’s chest X-ray showed abnormalities, the disease is divided into four stages: ① bilateral hilar lymph nodes; ② the first phase with the lungs Infiltration, ③ bilateral lung infiltration; ④ advanced pulmonary fibrosis and lung bulla formation. This article reports a rare group of 180 cases of sarcoidosis in lung performance. Thirteen cases of pleural involvement (pleural effusion in 8, pneumothorax in 5), pleural effusion lymphocytosis (3), increased protein (5 more than 4 g / 100 ml). Pleural effusion were less, mostly in 6 months to subside on their own. Two of the five patients with pneumothorax had thoracotomy and found that non-caseous granulomas extensively invaded the pleura. The occurrence of pneumothorax was associated with subpleural granuloma necrosis.