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Interstitial Lung Disease In82Cases Of Clinical Were Retrospectively Analyzed

Posted on:2015-09-26Degree:MasterType:Thesis
Country:ChinaCandidate:Q L ShenFull Text:PDF
GTID:2284330467455548Subject:Clinical Medicine
Abstract/Summary:PDF Full Text Request
Objective: To analyze male, female differences in clinical manifestations in patients withinterstitial lung disease, and to explore the gender impact of interstitial lung diseasediagnosis.Methods: Retrospective analysis of clinical data, Shihezi University Department ofRespiratory Medicine, First Affiliated Hospital from December2006to December2012confirmed82cases of hospitalized patients, two men and women, two groups werecompared smoking history, clinical symptoms, laboratory tests, lung function, HRCT andso on.Results:82patients,53males (64.5%) and29females (35.5%), male: femaleapproximately1.8:1.0, aged42to85years (69.36±5.48), in which workers46cases(56.1%), cadres of33cases (40.2%), farmers three cases (3.7%); live in cities34cases(41.5%), living in rural areas in48patients (58.5%); male smokers and44(54.7%) and2females people (2.4%); clinical manifestations of78cases of patients with chronic cough(95.1%),59patients with sputum (71.9%), progressive dyspnea62patients (75.6%),fever in10patients (12.2%),22cases (26.8%) patients with a barrel chest, lung crackles29patients (35.4%), lower extremity edema4patients (4.9%), clubbing29patients(35.4%);82patients had High-resolution CT lung imaging data, including ground glass-like changes in39patients (47.6%), the grid-like changes in36patients (43.9%),4patients honeycomb lung (4.9%),23patients with mediastinal lymphadenopathy (28.0%),lung nodules in16patients (19.5%); blood gas analysis shows which type I respiratoryfailure in28patients (34.1%), type II respiratory failure in4patients (4.9%), hypoxemia33patients (40.2%). Male and female patients were smokers, barrel chest, FEV1/FVCpredicted value, erythrocyte sedimentation rate significantly different (P <0.05), theremaining general information, clinical symptoms, signs, imaging, pulmonary function andlaboratory test results were not significant difference (P>0.05).Conclusion:1. clinical diagnosis in patients with ILD to comprehensive risk factors, clinicalfeatures, imaging findings, blood gas analysis and other laboratory tests.2. ILD patients atthe time of initial diagnosis, imaging should take full account of gender, lung function,related laboratory test results due to differences helps provide a reference when male andfemale patients diagnosed with ILD.
Keywords/Search Tags:interstitial lung disease, pulmonary function, blood gas analysis, high resolutionCT
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