| To investigate the clinical characteristics of interstitial lung disease and the diagnostic value of the examination results, and to preliminarily analyze the characteristics of syndrome types and distribution characteristics of the syndrome elements.Methods:A retrospective analysis of the clinical data of 37 cases with interstitial lung disease (18 cases with idiopathic interstitial lung disease and 19 cases with secondary interstitial lung disease) who were admitted in our hospital from December 2012 to November 2015 and test data of blood gas analysis, coagulation, etiology, lung function, chest high resolution CT (HRCT) were conducted.And the data of idiopathic and secondary interstitial lung disease were compared.Results:1) Patients with interstitial lung disease were manifested with cough, shortness of breath and lung Velcro.2) The main manifestations of blood gas analysis were over ventilation, hypoxia and type I respiratory failure.3) The majority of lung function showed restrictive ventilation function and diffusion barrier.4) HRCT showed grid, honeycomb, patchy, strip shadow and interlobular septal thickening in the imaging position, mainly distributed in the lung by the pleura and lung scattered.5) The pathogenic examination showed that the mycoplasma infection was the most, followed by fungi.6) Primary treatment was antioxidant and glucocorticoid hormone.7) Syndrome factors of disease:phlegm>stasis>heat>Qi deficiency>Yin deficiency; Syndrome elements of disease location:spleen>lung>kidney>liver, of which the correlation between syndrome elements “blood stasis” and FIB in the laboratory of modern medicine had statistical significance (P<0.05).The proportion of the three types of syndrome were more including “lung spleen and kidney deficiency, phlegm heat and blood stasis”, “qi and yin deficiency, phlegm and blood stasis internal obstruction”, “qi deficiency, phlegm and blood stasis obstructing the collateral”.8) Compared between 18 patients with idiopathic interstitial lung disease and 19 cases with secondary interstitial lung disease, the difference of the rate of shortness of breath rate (18/18 vs 15/19) was statistically significant (P<0.05).HRCT examination was carried out in 35 cases.The lesions were mainly distributed in the lower lobe of the lung, double-lung, under the double lung and both lower lung.There were statistically significant differences in the incidence of both lower lung (4/17 vs 0/18) between two groups (P<0.05).Conclusion:The diagnosis of interstitial lung disease is mainly based on the typical clinical manifestations, combined with blood gas analysis, pulmonary function, HRCT and other laboratory and auxiliary examination.Chest imaging, especially HRCT, can determine the nature and extent of the lesion as early as possible, with positive clinical significance to the early diagnosis.TCM syndrome type with “lung spleen and kidney deficiency, phlegm heat and blood stasis”, “qi and yin deficiency, phlegm and blood stasis internal obstruction”, “qi deficiency, phlegm and blood stasis obstructing the collateral” are relatively more.The spleen and lung disease syndrome is more common.The disease syndromes are phlegm and blood stasis. |
