免疫检查点抑制剂相关肺炎的发病机制及临床诊治进展

Progress in the pathogenesis, clinical diagnosis and treatment of immune checkpoint inhibitor-related pneumonitis

  • 摘要: 免疫检查点抑制剂(ICIs)是目前临床常用的一类抗肿瘤药物, 但其可能引发免疫检查点抑制剂相关肺炎(CIP), 进而影响患者的临床获益。本文系统性分析国内外文献,综述CIP的发病率、危险因素、发病机制、临床表现、诊断、分级和治疗等方面的研究进展,以期及时干预CIP的发生与发展,为ICIs的临床应用提供合理有效的理论依据。

     

    Abstract: Immune checkpoint inhibitors (ICIs) are currently one of commonly used antitumor drugs in clinical practice, but they may trigger immune checkpoint inhibitor-related pneumonitis (CIP), thereby affecting the clinical benefits of patients. This article systematically analyzed domestic and foreign literature and summarized the research progress in the incidence, risk factors, pathogenesis, clinical manifestations, diagnosis, grading, and treatment of CIP. The paper aimed to timely intervene the occurrence and development of CIP and provided a reasonable and effective theoretical basis for the clinical application of ICIs.

     

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