PT期刊文章AU - l·威尔克盟R.A. Jorres AU -美国Costabel AU - h . Magnussen TI -拜尔细胞的预测价值差异的间质性肺疾病的诊断援助- 10.1183 / 09031936.04.00101303 DP - 2004年12月01 TA -欧洲呼吸杂志》第六PG - 1000 - 1006 - 24 IP - 6 4099 - //www.qdcxjkg.com/content/24/6/1000.short 4100 - //www.qdcxjkg.com/content/24/6/1000.full所以欧元和J2004 12月01;24 AB -当前作者旨在量化的可能性如何变化的知识对于一个给定的诊断支气管肺泡灌洗(BAL)细胞的差异。作为一个初步估计(先验概率),频率的最终诊断。使用分类细胞差异,后验概率被导出为每个疾病,根据贝叶斯。五组的分析在三个诊断怀疑之前落下帷幕:间质性肺病(ILD);n = 710),炎症性疾病(n = 583),或肺部肿瘤模仿ILD (n = 455)。总体而言,1971名患者中,18.3%有结节病,通常7.7%的间质性肺炎(摘要),外在过敏性肺泡炎4.4% (EAA),和19.0%的肿瘤。与疑似ILD组中,结节病的可能性已经从68.1%上升到33.7,淋巴细胞数量和粒细胞数低30 - 50%;摘要本文从15.8增加到33.3%的可能性在淋巴细胞数量& lt;与粒细胞升高30%。CD4 / CD8是有益的,特别是在结节病和监管。 Despite considerable increases, the likelihood of rare diseases rarely reached appreciable values. Similar results were obtained in the other two groups of suspected diagnoses. In conclusion, these data suggest that bronchoalveolar lavage cell counts per se provide substantial diagnostic information only in relatively frequent diseases, such as sarcoidosis and usual interstitial pneumonia, and are less helpful in infrequent diseases. This study was supported by Landesversicherungsanstalt (LVA), Freie und Hansestadt Hamburg, Germany.