中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240724-00426
C X Zhu, Y Z Li, H Y Zhu
{"title":"[Diagnostic value of the airway post-processing technique of multi-slice spiral CT in Accessory cardiac bronchus].","authors":"C X Zhu, Y Z Li, H Y Zhu","doi":"10.3760/cma.j.cn112147-20240724-00426","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240724-00426","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to assess the diagnostic value of the airway post-processing technique of multi-slice spiral CT(MSCT) in Accessory cardiac bronchus(ACB)and to improve the understanding of this disease. <b>Methods:</b> The original MSCT axial images and various post-processing reconstructed images of 9 ACB cases were retrospectively analyzed.Airway post-processing techniques, including multi-planar reformation(MPR), minimum intensity projection (MinIP), volume rendering technique(VRT), CT virtual endoscopy(CTVE) and tissue transition projection (TTP), were employed. Three-dimensional recombination images of bronchial trees were obtained and classified according to the Mangiulea classification. <b>Results:</b> Among the 9 cases with ACB, there were 6 cases of accessory-lobed type, 3 cases of long diverticular type, and no cases of short diverticular type. The lateral axial images, MPR, MinIP, VRT, CTVE, and TTP all clearly displayed ACB. Among the 6 cases of accessory-lobed type, there were 5 cases with accessory lobe dysplasia and one case with pneumonia in an accessory lobe;One case was complicated with accessory lobe emphysema. Among the 3 cases with long diverticular type ACB, one had pneumonia. Among the 9 cases, there was 1 case with old tuberculous focus, 1 case with pulmonary fibrous focus, 1 case with pleural thickening and adhesion, and 1 case with tracheal diverticulum. <b>Conclusion:</b> The airway post-processing technique of MSCT can not only clarify the diagnosis, origin and classification of ACB, but also measure the opening diameter, length and distance to the tracheal carina of ACB.It guides clinical treatment and tracheoscopy, etc, and can be used as the preferred examination method for ACB.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1130-1134"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240710-00400
R J Cai, J T Feng
{"title":"[Evolution of diagnostic criteria for allergic bronchopulmonary aspergillosis].","authors":"R J Cai, J T Feng","doi":"10.3760/cma.j.cn112147-20240710-00400","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240710-00400","url":null,"abstract":"<p><p>Allergic bronchopulmonary aspergillosis (ABPA) is a lung disease characterized by sensitization to <i>Aspergillus fumigatus</i>. Patients often present with recurrent wheezing, fleeting pulmonary infiltrates, and bronchiectasis. Due to the atypical clinical manifestations, unclear pathogenesis, and lack of unified diagnostic criteria, ABPA is often misdiagnosed or overlooked. In 1977, Rosenberg criteria were introduced as the first diagnostic criteria for ABPA, but without further elaboration on the weighting of diagnostic items and thresholds. In 2013, the International Society for Human and Animal Mycology (ISHAM) proposed more specific diagnostic criteria. As the understanding of fungal sensitization disease has progressed, the concept of allergic bronchopulmonary mycosis (ABPM) has been proposed and has received increasing attention. In 2021, Asano <i>et al.</i> proposed the ABPM diagnostic criteria and found that their diagnostic sensitivity was superior to that of Rosenberg and ISHAM criteria. In 2024, ISHAM again revised the ABPA diagnostic criteria and proposed diagnostic criteria for ABPM. This article provided an analysis and interpretation of the diagnostic criteria for ABPA/ABPM in order to help the diagnosis and treatment of this disease.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1176-1180"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240113-00027
X B Wang, R C Wang, Q Tu, W Zhang, Z D Li
{"title":"[Pulmonary nodular lymphoid hyperplasia: a case report].","authors":"X B Wang, R C Wang, Q Tu, W Zhang, Z D Li","doi":"10.3760/cma.j.cn112147-20240113-00027","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240113-00027","url":null,"abstract":"<p><p>Pulmonary nodular lymphoid hyperplasia (PNLH) is a rare pulmonary lymphoproliferative disease characterized by the absence of specific clinical and imaging features. Consequently, diagnosis relies heavily on postoperative pathological examination, which often leads to preoperative misdiagnosis. Here, we report an atypical case of PNLH in a 57-year-old female patient who was admitted to hospital after a pulmonary nodule was discovered during a routine physical examination two days earlier. Chest CT scan revealed a mixed ground-glass nodule in the apicoposterior segment of the left upper lobe, with lobulation and spiculation. These imaging findings initially suggested a diagnosis of pulmonary malignancy. However, pathological examination and IgH gene rearrangement analysis of the resected tissue ultimately confirmed the diagnosis of PNLH.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1159-1162"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240530-00300
W H Bao, H Y Ji, J L Guo, Y W Shi
{"title":"[Research progress of long-term right ventricular dysfunction after acute pulmonary embolism].","authors":"W H Bao, H Y Ji, J L Guo, Y W Shi","doi":"10.3760/cma.j.cn112147-20240530-00300","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240530-00300","url":null,"abstract":"<p><p>Acute pulmonary thromboembolism (PTE) is a disease with a high mortality rate. Although most patients can recover after timely treatment and intervention during the acute phase, some patients may still have long-term right ventricular dysfunction (RVD), which affects the quality of life and long-term prognosis. A comprehensive understanding of the factors, diagnosis and treatment and management of persistent RVD after acute PTE is crucial for optimizing long-term management for PTE patients and improving their prognosis. This article reviews recent advances in the epidemiology, factors, evaluation, management and prognosis of persistent RVD after acute PTE.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1198-1204"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240523-00284
X Y Cui, B Wang, Q Y Zhan, M Liu, W H Chen
{"title":"[Early-onset antibody-mediated rejection with fever as the main manifestation after bilateral lung transplantation: a case report].","authors":"X Y Cui, B Wang, Q Y Zhan, M Liu, W H Chen","doi":"10.3760/cma.j.cn112147-20240523-00284","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240523-00284","url":null,"abstract":"<p><p>Antibody-mediated rejection (AMR) is a recognized cause of allograft dysfunction in lung transplant recipients due to the presence of donor-specific anti-human leukocyte antigen (HLA) antibodies (DSAs). Here, we reported that a 69-year-old woman with underlying connective tissue disease-associated interstitial lung disease (CTD-ILD) developed recurrent fever with elevated white blood cells, C-reactive protein (CRP) and new ground-glass opacities on chest computed tomography (CT) early after double lung transplantation. After a thorough investigation for infection, rejection and relapse of primary immune diseases, the patient was found to be panel-reactive antibody (PRA) positive and DSAs positive. Pathology of the transbronchial lung biopsy (TBLB) revealed positive histology suggestive of AMR and positive C4d staining. The final diagnosis was definite clinical AMR. Following treatment with plasma exchange and intravenous immunoglobulin (IVIg) infusion, the patient's condition improved significantly, and the patient was discharged from hospital.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1135-1139"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240625-00359
Y Cao, Y Q Wang, X Lu, Y C Han, J P Fan, L X Su
{"title":"[Acute mitral regurgitation causing right-sided pulmonary edema: a case report].","authors":"Y Cao, Y Q Wang, X Lu, Y C Han, J P Fan, L X Su","doi":"10.3760/cma.j.cn112147-20240625-00359","DOIUrl":"10.3760/cma.j.cn112147-20240625-00359","url":null,"abstract":"<p><p>A young female presented to our emergency department with sudden-onset shortness of breath and orthopnea. Her condition rapidly worsened. She developed severe respiratory failure and cardiogenic shock ensued. Noticeably, the patient's CT scan showed a unique pattern of right-sided unilateral pulmonary edema, a feature highly specific for severe mitral regurgitation. Echocardiography confirmed papillary muscle rupture and acute mitral valve prolapse to be the cause. Her condition improved significantly after mitral valve replacement and with respiratory and circulatory support, as well as with other heart failure treatment. The classic symptoms of acute left heart failure combined with the unique CT manifestation of predominantly right-sided pulmonary edema suggested severe mitral regurgitation. Prompt diagnosis and early initiation of treatment aimed at the underlying cause is of great significance in improving the patient's prognosis.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1148-1150"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240624-00358
L L Wu, W He, F J Lin, Y F Xie, Y F Du, W J Lu
{"title":"[Advances in pathogenic mechanisms and pulmonary rehabilitation strategies for skeletal muscle dysfunction in chronic obstructive pulmonary disease].","authors":"L L Wu, W He, F J Lin, Y F Xie, Y F Du, W J Lu","doi":"10.3760/cma.j.cn112147-20240624-00358","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240624-00358","url":null,"abstract":"<p><p>Chronic obstructive pulmonary disease (COPD) is a complex heterogeneous chronic respiratory disease and third leading cause of death worldwide. In addition to damage to the respiratory system, COPD has significant extra-pulmonary effects, of which skeletal muscle dysfunction is one of the most prominent. Skeletal muscle dysfunction in COPD can manifest as impaired muscle strength, loss of muscle mass, or decreased endurance, <i>etc</i>. Possible pathogenic mechanisms include abnormal neuro-muscular stimulation, dysregulated protein synthesis, hypoxia, inflammation, oxidative stress, mitochondrial dysfunction, impaired regenerative capacity, <i>etc</i>. Pulmonary rehabilitation (PR) can improve limb muscle function, exercise tolerance and quality of life of COPD patients. Exercise training is usually the main component of any PR program. Currently, PR is the main intervention for skeletal muscle dysfunction in COPD and could be executed in PR center, at home, or in the community using state-of-the-art technology. In this review, we summarized recent advances in pathogenic mechanisms and pulmonary rehabilitation strategies for skeletal muscle dysfunction in COPD, in particular exercise training protocols, respiratory support and feedback in PR, and so on.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1163-1169"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240420-00213
Y Y Kong, T Wang, X J Qiu, X N Bu, J Zhang, J Wang
{"title":"[Application of Montgomery T-tube implantation after reverse puncture airway recanalization in the treatment of Cotton-Myer Ⅳ subglottic airway atresia].","authors":"Y Y Kong, T Wang, X J Qiu, X N Bu, J Zhang, J Wang","doi":"10.3760/cma.j.cn112147-20240420-00213","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240420-00213","url":null,"abstract":"<p><p>Cotton-Myer Ⅳ subglottic airway atresia is the most severe type of tracheal stenosis, often leading to long-term in-dwelling tracheotomy cannula in patients, which can severely affect their quality of life and even be life threatening. In order to improve the treatment ability of bronchoscopy physicians for airway atresia, this article retrospectively analyzed 10 cases of subglottic airway atresia in Beijing Tiantan Hospital, Capital Medical University, and summarized the experience of achieving better results by Montgomery T-tube implantation after reverse puncture airway recanalization.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1140-1143"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240511-00250
R L G Yue, X Liu, K Hu
{"title":"[Optimal treatment of obstructive sleep apnea guided by physiological characteristics].","authors":"R L G Yue, X Liu, K Hu","doi":"10.3760/cma.j.cn112147-20240511-00250","DOIUrl":"https://doi.org/10.3760/cma.j.cn112147-20240511-00250","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a common and heterogeneous disorder. Most patients can be successfully treated, but some have poor treatment outcomes. This review first presented four physiological OSA characteristics, including upper airway collapsibility, loop gain, airway muscle responsiveness, and arousal threshold, which are associated with the efficacy of OSA therapy. Then, we presented how to select the most effective therapy modality for each individual based on OSA characteristics, with the purpose of providing a basis for individualized treatment of OSA.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1181-1186"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华结核和呼吸杂志Pub Date : 2024-12-12DOI: 10.3760/cma.j.cn112147-20240422-00214
L F Li, M Lin, Y S Chen, W X Yue
{"title":"[<i>Mycobacterium tuberculosis</i> infection complicated by talaromycosis in a patient with positive anti-interferon-γ autoantibodies: a case report].","authors":"L F Li, M Lin, Y S Chen, W X Yue","doi":"10.3760/cma.j.cn112147-20240422-00214","DOIUrl":"10.3760/cma.j.cn112147-20240422-00214","url":null,"abstract":"<p><p>High-titer antibodies to interferon-gamma (IFN-γ) are strongly correlated with infections caused by intracellular pathogens, particularly non-tuberculous mycobacteria and <i>Talaromyces marneffei</i> (TM). However, cases of concurrent infections with TM and <i>Mycobacterium tuberculosis</i> (MTB) in non-immunosuppressed patients are extremely rare. We presented a clinical case of a patient with anti-IFN-γ autoantibodies who developed an MTB infection complicated by <i>Talaromyces marneffei</i>, which subsequently led to secondary hemophagocytic syndrome. This report aimed to raise clinicians' awareness of this rare association to minimize the risk of misdiagnosis and overdiagnosis.</p>","PeriodicalId":61512,"journal":{"name":"中华结核和呼吸杂志","volume":"47 12","pages":"1154-1158"},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}