广州医药 ›› 2024, Vol. 55 ›› Issue (6): 653-657.DOI: 10.3969/j.issn.1000-8535.2024.06.013

• 论著 • 上一篇    下一篇

特发性间质性肺炎(非IPF型)合并弥漫性肺泡出血综合征

廖银光, 李晓岩, 钱嘉俊, 邹良亮, 李彬   

  1. 华南理工大学附属第二医院(广州市第一人民医院)南沙医院危重症监护室(广东广州 511400)
  • 收稿日期:2024-01-17 出版日期:2024-06-20 发布日期:2024-07-31

Idiopathic interstitial pneumonia(non-IPF type)with diffuse alveolar hemorrhage syndrome:Treatment analysis and literature review

LIAO Yinguang, LI Xiaoyan, QIAN Jiajun, ZOU Liangliang, LI Bin   

  1. Department of ICU,the Second Affiliated Hospital of South China University of Technology(Guangzhou First People’s Hospital),Nansha Hospital,Guangzhou 511400,China
  • Received:2024-01-17 Online:2024-06-20 Published:2024-07-31

摘要: 目的 探讨特发性间质性肺炎(IIPs)[非特发性肺间质性纤维化(IPF)型]合并弥漫性肺部出血综合征患者治疗方案以及应用价值。方法 报道1例IIPs(非IPF型)合并弥漫性肺部出血综合征患者的治疗经过以及结果,结合文献分析治疗IIPs(非IPF型)合并弥漫性肺部出血综合症临床应用价值。结果 该文报道 l 例特发性肺间质肺炎(非IPF型)伴弥漫性肺泡出血综合征的老年男性患者,合并呼吸、循环衰竭,启用静脉-静脉体外膜肺氧合(VV-ECMO)抢救并成功撤机,病情好转出院。结论 IIPs作为病因以及发病机制未明、临床表现多样的一类肺间质性疾病,需临床多学科协作,及早诊断、治疗,才能成功挽救患者。

关键词: 体外膜肺氧合, 弥漫性肺泡出血综合征, 特发性间质性肺炎

Abstract: Objective To explore the treatment plan and application value of idiopathic interstitial pneumonia(non IPF)complicated with diffuse alveolar hemorrhage syndrome.Methods A case of idiopathic interstitial pneumonia(non IPF)complicated with diffuse alveolar hemorrhage syndrome was reported.The clinical application value of treatment of idiopathic interstitial pneumonia(non IPF)complicated with diffuse alveolar hemorrhage syndrome was analyzed combined with the literature.Results A case of idiopathic interstitial pneumonia(non IPF type)with diffuse alveolar hemorrhage syndrome was reported in this paper. Combined with respiratory and circulatory failure,veno-venous extracorporeal membrane oxygenation was used to rescue and successfully wean,and the condition improved and discharged.Conclusions Through the curative effect evaluation of this patient,it is believed that idiopathic interstitial pneumonia,as a kind of pulmonary interstitial disease with unknown etiology and pathogenesis and diverse clinical manifestations,need clinical multidisciplinary cooperation,early diagnosis and treatment,in order to successfully save the patient.

Key words: extracorporeal membrane oxygenation, diffuse alveolar hemorrhage, idiopathic interstitial pneumonia