原发性气管支气管淀粉样变2例报道及文献复习

    Primary tracheobronchial amyloidosis: Report of 2 cases and review of literature

    • 摘要: 目的:探讨原发性支气管肺淀粉样变的流行病学特征、临床表现及诊断和治疗方法。方法:总结2例临床特点,并结合文献进行分析,采用微波、泼尼松及马法兰治疗。结果:患者主要表现为咳嗽、咳痰、呼吸困难和咯血,经纤支镜活检标本刚果红染色阳性。1例治疗后症状明显缓解,1例要求至外地治疗。结论:原发性支气管肺淀粉样变临床少见,诊断依靠病理活检,目前无特异性治疗方法。

       

      Abstract: Objective: To study the epidemiology,manifestation,diagnosis and treatment of primary tracheobronchial and pulmonary amyloidosis.Methods: The clinical features of 2 cases of primary tracheobronchial amyloidosis were summarized,and the analysis was performed by reviewing the literature.Micowave,prednisone and alkeran were adopted in the treatment.Results: The most common symptoms of primary tracheobronchial and pulmonary amyloidosis were cough,sputum,dyspnea and emptysis.Biopsy's specimens showed that Congo red stain was all positive.One patient improved markedly and the other went to another hospital.Conclusions: Primary tracheobronchial and pulmonary amyloidosis is rarely seen in clinic and its diagnosis relies on pathology.No specific management has been found up till now.

       

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