内科理论与实践

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2025 , Vol. 20 >Issue 02: 107 - 111

DOI: https://doi.org/10.16138/j.1673-6087.2025.02.02

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炎症性肠病相关肺损伤的诊治策略

  • 葛文松
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  • 上海交通大学医学院附属新华医院消化内科，上海 200192

收稿日期: 2025-03-05

  网络出版日期: 2025-07-08

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Diagnosis and management strategy of lung injury related to inflammatory bowel disease

  • GE Wensong
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  • Department of Gastroenterology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200192， China

Received date: 2025-03-05

  Online published: 2025-07-08

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摘要

炎症性肠病(inflammatory bowel disease，IBD)是一种慢性、复发性的胃肠道炎症性疾病，常伴有肠外表现，可严重影响患者的生活质量，甚至危及生命。肺损伤是IBD罕见且易被忽视的肠外表现，其形式主要包括气道疾病、肺间质疾病、肺栓塞、胸膜疾病及药物所致肺损伤。本文总结了IBD相关肺损伤的类型、临床特点和治疗等方面的研究进展，旨在为临床诊疗提供参考。未来通过多学科协作诊疗模式将有助于提高IBD相关肺损伤的诊治水平。

关键词： 炎症性肠病; 肠外表现; 肺损伤; 多学科团队协作

本文引用格式

葛文松 . 炎症性肠病相关肺损伤的诊治策略[J]. 内科理论与实践, 2025 , 20(02) : 107 -111 . DOI: 10.16138/j.1673-6087.2025.02.02

Abstract

Inflammatory bowel disease (IBD) is a chronic and recurrent gastrointestinal inflammatory disorder, often accompanied by extraintestinal manifestations (EIM), which can seriously affect the quality of life of IBD patients and sometimes even threaten their lives. Lung injury is a rare and easily overlooked EIM of IBD. IBD combined with lung injury includes airway diseases, interstitial lung diseases, pulmonary embolism, pleural diseases, and drug-related lung injury. This article summarizes the progress in the types, clinical characteristics, and treatment of IBD combined with lung injury, aiming to provide a strategy for its diagnosis and treatment. In the future, multidisciplinary collaboration will become the main diagnosis and treatment mode of IBD combined with lung injury.

Key words： Inflammatory bowel disease; Extraintestinal manifestations; Lung injury; Multidisciplinary team collaboration

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