[ILD的诊断]。

T. Geiser, S. Guler
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引用次数: 1

摘要

ILD的诊断是复杂的,需要肺科医生、放射科医生和病理学家之间的密切合作。然而,最重要的是,全科医生需要考虑到ILD的可能性,如果患者出现越来越急促的呼吸,干咳和双侧,肺听诊基底裂纹。肺科医生的进一步检查可以通过详细的病史、肺功能检查、CT扫描和支气管镜检查,甚至外科肺生物检查(如果需要)来确认和分类ILD。多学科讨论(MDD)正在成为诊断ILD和决定适当治疗的金标准,特别是关于IPF的新型抗纤维化治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnosis of ILD].
The diagnosis of ILD is complex and needs a close collaboration between the pulmologist, the radiologist and the pathologist. However, and most importantly, the general practitioner needs to think about the possibility of ILD if a patient presents with increasing shortness of breath, dry cough and bilateral, basal crackles on lung auscultation. Further work-up by the pulmonologist may confirm and classify the ILD by a detailled patient history, lung function tests, CT scans and bronchoscopy, or even surgical lung biospies, if needed. A multidisciplinary discussion (MDD) is becoming the gold standard in diagnosing ILD and deciding about appropriate treatment, in particular regarding the novel antifibrotic therapies for IPF.
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