吕梦宇 裘关关 裘淼 熊中奎

    [摘要] 放射性肺炎是胸部肿瘤放疗常见的严重并发症，虽然放疗技术有了革命性的提高，但放射性肺炎的发生率仍不低，严重者将危及生命。放射性肺炎一旦发展至放射性肺纤维化将不可逆转，故预防放射性肺炎的发生尤为重要。放射性肺炎的临床表现主要为呼吸困难、咳嗽、发热及肺衰竭，常用糖皮质激素及抗生素治疗。隨着放疗技术的不断发展，放射性肺炎日渐受到重视。本文着重介绍放射性肺炎的诊断、防治手段及相关最新研究进展。

    [关键词] 放射性肺炎;放疗;抗肿瘤;防治;综述

    [中图分类号] R563.1? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2021)06-0187-06

    Advances in diagnosis and treatment of radiation pneumonia

    LYU Mengyu1? ?QIU Guanguan1? ?QIU Miao2? ?XIONG Zhongkui2

    1.Department of Pharmacy， Shaoxing Second Hospital in Zhejiang Province， Shaoxing? ?312000， China; 2.Department of Tumor Radiotherapy， Shaoxing Second Hospital in Zhejiang Province， Shaoxing? ?312000， China

    [Abstract] Radiation pneumonia is a common serious complication of chest tumor radiotherapy. Although the radiotherapy technology has a revolutionary improvement， the incidence of radiation pneumonia is still not low， and severe cases will be life-threatening. Radiation pneumonia will be irreversible once it develops into radiation pulmonary fibrosis， so preventing radiation pneumonitis is particularly important. The main clinical manifestations of radiation pneumonia are dyspnea ......