纤维素性支气管炎的临床病理特点分析：附一例报告并文献复习

摘要

Cellulose bronchitis is rare on clinic, is mainly caused by inflammation, hemorrhage, necrosis and abnormal secretion of bronchial mucosa, can cause bronchial mucous plug syndrome. The diagnosis of cellulose bronchitis is mainly depend on characteristic bronchial cast through cough or fiber bronchoscopy,and the major therapeutic is glucocorticoids, and it is important to note that fall of bronchial cast can reduce airway obstruction and apnea in the treatment. The paper reported a case of cellulose bronchitis,and reviewed related literature to analyze the its clinical and pathologic features.%纤维素性支气管炎是由支气管黏膜炎症、出血、坏死及异常分泌导致黏液在支气管内聚集结块，形成支气管黏液栓嵌塞而引发的一种临床综合征，该病在临床上较罕见，其确诊主要依据患者咳出或经纤维支气管镜取出具有特征性的支气管管型，目前以糖皮质激素治疗为主，且在治疗期间应注意防止管型脱落阻塞气道而引起窒息。本文报道了1例纤维素性支气管炎患者的诊治过程，并结合相关文献分析纤维素性支气管炎的临床病理特点。