間質(zhì)性肺病診斷思路課件

間質(zhì)性滴診治間質(zhì)性滴診治1四個方面質(zhì)性肺病的概念雙肺彌漫性病變≡肺纖維化?(是不是間質(zhì)性病變?)*間質(zhì)性肺病的分類有間質(zhì)性改變=特發(fā)性肺纖維化?(是否是特發(fā)性間質(zhì)性肺炎?)診斷恩略?間質(zhì)性肺病的洽療?如何處置間質(zhì)性肺病?)四個方面2基本概念*間質(zhì)由位于肺飽之間的組織所組成。這些組織結(jié)構(gòu)包抬:肺飽壁網(wǎng)狀和彈性纖維(結(jié)締組織)、毛細(xì)血管網(wǎng)及謝巴管等。主要是指肺泡上皮和肺泡腔。臨床實踐中,這些水語常與胸部X線表現(xiàn)相興基本概念3基本概念間質(zhì)性肺疾病(ID)實質(zhì)、肺泡炎癥和間質(zhì)纖維化為病理基本變彌漫性實質(zhì)性肺病(DPLD)特發(fā)性間質(zhì)性肺炎(IP特發(fā)性肺間質(zhì)纖維化()尋常型間質(zhì)性肺炎()(m的*)基本概念4吸入因素肉芽腫疾病感染*職業(yè)(有機/無機)結(jié)節(jié)病、病毒環(huán)境(包括家居)PLCH非典型病原體氣體/蒸汽/氣溶膠PCP愛好/鳥/寵物繼發(fā)于其他系統(tǒng)膠原血管疾病DPLD/ILD疾病消化、腎臟、循環(huán)等(包括血管炎某些特異性疾病遺傳因素肺泡蛋白沉積癥(PAP)家族性IPF結(jié)節(jié)性硬化特發(fā)性間質(zhì)性肺肺淋巴管平滑肌瘤病(lIP)慢性嗜酸細(xì)胞性肺炎神經(jīng)纖維瘤病醫(yī)源性(藥物/放射)代謝儲存病吸入因素5間質(zhì)性肺病診斷思路課件6間質(zhì)性肺病診斷思路課件7間質(zhì)性肺病診斷思路課件8間質(zhì)性肺病診斷思路課件9間質(zhì)性肺病診斷思路課件10間質(zhì)性肺病診斷思路課件11間質(zhì)性肺病診斷思路課件12間質(zhì)性肺病診斷思路課件13間質(zhì)性肺病診斷思路課件14間質(zhì)性肺病診斷思路課件15間質(zhì)性肺病診斷思路課件16間質(zhì)性肺病診斷思路課件17間質(zhì)性肺病診斷思路課件18間質(zhì)性肺病診斷思路課件19間質(zhì)性肺病診斷思路課件20間質(zhì)性肺病診斷思路課件21間質(zhì)性肺病診斷思路課件22間質(zhì)性肺病診斷思路課件23間質(zhì)性肺病診斷思路課件24間質(zhì)性肺病診斷思路課件25間質(zhì)性肺病診斷思路課件26間質(zhì)性肺病診斷思路課件27間質(zhì)性肺病診斷思路課件28間質(zhì)性肺病診斷思路課件29間質(zhì)性肺病診斷思路課件30間質(zhì)性肺病診斷思路課件31間質(zhì)性肺病診斷思路課件32間質(zhì)性肺病診斷思路課件33間質(zhì)性肺病診斷思路課件34間質(zhì)性肺病診斷思路課件35間質(zhì)性肺病診斷思路課件36間質(zhì)性肺病診斷思路課件37間質(zhì)性肺病診斷思路課件38間質(zhì)性肺病診斷思路課件39間質(zhì)性肺病診斷思路課件40間質(zhì)性肺病診斷思路課件41間質(zhì)性肺病診斷思路課件42間質(zhì)性肺病診斷思路課件43間質(zhì)性肺病診斷思路課件44間質(zhì)性肺病診斷思路課件45間質(zhì)性肺病診斷思路課件46間質(zhì)性肺病診斷思路課件47間質(zhì)性肺病診斷思路課件48間質(zhì)性肺病診斷思路課件49間質(zhì)性肺病診斷思路課件50間質(zhì)性肺病診斷思路課件51間質(zhì)性肺病診斷思路課件52間質(zhì)性肺病診斷思路課件53間質(zhì)性肺病診斷思路課件54間質(zhì)性肺病診斷思路課件55間質(zhì)性肺病診斷思路課件56間質(zhì)性肺病診斷思路課件57間質(zhì)性肺病診斷思路課件58間質(zhì)性肺病診斷思路課件59間質(zhì)性肺病診斷思路課件60間質(zhì)性肺病診斷思路課件61間質(zhì)性肺病診斷思路課件62間質(zhì)性肺病診斷思路課件63間質(zhì)性肺病診斷思路課件64間質(zhì)性肺病診斷思路課件65間質(zhì)性肺病診斷思路課件66間質(zhì)性肺病診斷思路課件67間質(zhì)性肺病診斷思路課件68間質(zhì)性肺病診斷思路課件69間質(zhì)性肺病診斷思路課件70間質(zhì)性肺病診斷思路課件71間質(zhì)性肺病診斷思路課件72間質(zhì)性肺病診斷思路課件73間質(zhì)性肺病診斷思路課件74間質(zhì)性肺病診斷思路課件75間質(zhì)性滴診治間質(zhì)性滴診治76四個方面質(zhì)性肺病的概念雙肺彌漫性病變≡肺纖維化?(是不是間質(zhì)性病變?)*間質(zhì)性肺病的分類有間質(zhì)性改變=特發(fā)性肺纖維化?(是否是特發(fā)性間質(zhì)性肺炎?)診斷恩略?間質(zhì)性肺病的洽療?如何處置間質(zhì)性肺病?)四個方面77基本概念*間質(zhì)由位于肺飽之間的組織所組成。這些組織結(jié)構(gòu)包抬:肺飽壁網(wǎng)狀和彈性纖維(結(jié)締組織)、毛細(xì)血管網(wǎng)及謝巴管等。主要是指肺泡上皮和肺泡腔。臨床實踐中,這些水語常與胸部X線表現(xiàn)相興基本概念78基本概念間質(zhì)性肺疾病(ID)實質(zhì)、肺泡炎癥和間質(zhì)纖維化為病理基本變彌漫性實質(zhì)性肺病(DPLD)特發(fā)性間質(zhì)性肺炎(IP特發(fā)性肺間質(zhì)纖維化()尋常型間質(zhì)性肺炎()(m的*)基本概念79吸入因素肉芽腫疾病感染*職業(yè)(有機/無機)結(jié)節(jié)病、病毒環(huán)境(包括家居)PLCH非典型病原體氣體/蒸汽/氣溶膠PCP愛好/鳥/寵物繼發(fā)于其他系統(tǒng)膠原血管疾病DPLD/ILD疾病消化、腎臟、循環(huán)等(包括血管炎某些特異性疾病遺傳因素肺泡蛋白沉積癥(PAP)家族性IPF結(jié)節(jié)性硬化特發(fā)性間質(zhì)性肺肺淋巴管平滑肌瘤病(lIP)慢性嗜酸細(xì)胞性肺炎神經(jīng)纖維瘤病醫(yī)源性(藥物/放射)代謝儲存病吸入因素80間質(zhì)性肺病診斷思路課件81間質(zhì)性肺病診斷思路課件82間質(zhì)性肺病診斷思路課件83間質(zhì)性肺病診斷思路課件84間質(zhì)性肺病診斷思路課件85間質(zhì)性肺病診斷思路課件86間質(zhì)性肺病診斷思路課件87間質(zhì)性肺病診斷思路課件88間質(zhì)性肺病診斷思路課件89間質(zhì)性肺病診斷思路課件90間質(zhì)性肺病診斷思路課件91間質(zhì)性肺病診斷思路課件92間質(zhì)性肺病診斷思路課件93間質(zhì)性肺病診斷思路課件94間質(zhì)性肺病診斷思路課件95間質(zhì)性肺病診斷思路課件96間質(zhì)性肺病診斷思路課件97間質(zhì)性肺病診斷思路課件98間質(zhì)性肺病診斷思路課件99間質(zhì)性肺病診斷思路課件100間質(zhì)性肺病診斷思路課件101間質(zhì)性肺病診斷思路課件102間質(zhì)性肺病診斷思路課件103間質(zhì)性肺病診斷思路課件104間質(zhì)性肺病診斷思路課件105間質(zhì)性肺病診斷思路課件106間質(zhì)性肺病診斷思路課件107間質(zhì)性肺病診斷思路課件108間質(zhì)性肺病診斷思路課件109間質(zhì)性肺病診斷思路課件110間質(zhì)性肺病診斷思路課件111間質(zhì)性肺病診斷思路課件112間質(zhì)性肺病診斷思路課件113間質(zhì)性肺病診斷思路課件114間質(zhì)性肺病診斷思路課件115間質(zhì)性肺病診斷思路課件116間質(zhì)性肺病診斷思路課件117間質(zhì)性肺病診斷思路課件118間質(zhì)性肺病診斷思路課件119間質(zhì)性肺病診斷思路課件120間質(zhì)性肺病診斷思路課件121間質(zhì)性肺病診斷思路課件122間質(zhì)性肺病診斷思路課件123間質(zhì)性肺病診斷思路課件124間質(zhì)性肺病診斷思路課件125間質(zhì)性肺病診斷思路課件126間質(zhì)性肺病診斷思路課件127間質(zhì)性肺病診斷思路課件128間質(zhì)性肺病診斷思路課件129間質(zhì)性肺病診斷思路課件130間質(zhì)性肺病診斷思路課件131間質(zhì)性肺病診斷思路課件132間質(zhì)性肺病診斷思路課件133間質(zhì)性肺病診斷思路課件134間質(zhì)性肺病診斷思路課件135間質(zhì)性肺病診斷思路課件136間質(zhì)性肺病診斷思路課件137間質(zhì)性肺病診斷思路課件138間質(zhì)性肺病診斷思路課件139間質(zhì)性肺病診斷思路課件1