مقاربة آفات الرئة البارانشيمية المنتشرة في مشفى الأسد الجامعي باللاذقية ((أهمية التصوير الطبقي المحوسب عالي التمايز))

Authors

  • مالك حجازية
  • محمد الخير
  • أسامة ماوردي

Abstract

اشتملت الدراسة على (43) مريضاً (16 ذكراً و 27 أنثى)، تراوحت أعمارهم بين 29-80 سنة، وكان (35) مريضاً منهم (81.39%) قد تجاوز عمره 40 سنة.كان تليف الرئة مجهول السبب والداء الرثياني السببان الأكثر شيوعاً لآفات الرئة البارانشيمية المنتشرة (DPLD), في دراستنا.أجري التصوير الطبقي المحوسب عالي التمايز (HRCT) لـِ (43) مريضاً (100%)، حيث شوهدت ظلال شبكية عقيدية لدى (15) مريضاً (34.88%) وظلال شبكية لدى (14) مريضاً (32.55%), ومظهر الزجاج الخشن لدى (10) مرضى (23.25%) ومظهر قرص العسل لدى (3) مرضى (6.97%).تم إجراء تنظير قصبات مع الغسالة القصبية السنخية أو الخزعة القصبية لـِ (7) مرضى (16.27%) بهدف نفي أمراض أخرى مشابهة لآفات الرئة البارانشيمية المنتشرة.

تم اللجوء إلى خزعة الرئة لوضع التشخيص لدى (4) مرضى (9.30%), وكان تشخيصهم: حالتي ذات رئة متعضية خفية المنشأ وحالة ساركوئيد وحالة فرفرية هنوخ – شنلاين.

43 patients (16 males, 27 females), aged 29-80 years, were included in the study. Of the (43) patients, 35 (81.39%) were over 40 years of age.

Idiopathic pulmonary fibrosis and rheumatoid arthritis were the most common causes of DPLD in our study. HRCT was performed on 43 patients (100%), which showed reticulonodular shadows in 15 patients (34.88%), reticular shadows in 14 patients (32.55%), ground – glass appearance in 10 patients (23.25%) and honeycombing in 3 patients (6.97%). Bronchoscopy with bronchoalveolar lavage or endobronchial biopsy was performed in 7 patients (16.27%) to exclude other diagnoses. Lung biopsy was used to make diagnosis in 4 patients (9.30%), which revealed cryptogenic organizing pneumonia in 2 patients, sarcoidosis in one patient and Henoch-Schoenlein purpura in one patient.

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Published

2019-01-16

How to Cite

1.
حجازية م, الخير م, ماوردي أ. مقاربة آفات الرئة البارانشيمية المنتشرة في مشفى الأسد الجامعي باللاذقية ((أهمية التصوير الطبقي المحوسب عالي التمايز)). Tuj-hlth [Internet]. 2019Jan.16 [cited 2024Nov.24];30(1). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6511

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Vol. 30 No. 1 (2008): العلوم الصحية

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