肺曲霉菌感染21例临床分析  

Clinical Analysis of 21 Cases with Aspergillus Infection

作　　者：冯芳[1,2] 尹有宽[3] 陈一东[2] 谢怡[3] 

机构地区：[1]三峡大学第一临床医学院 [2]湖北省宜昌市中心人民医院肝病科,湖北宜昌443000 [3]复旦大学附属华山医院感染科,上海200040

出　　处：《华西医学》2008年第6期1315-1316,共2页West China Medical Journal

摘　　要：目的:探讨曲霉菌感染的临床特点及诊断治疗。方法:对21例曲霉菌感染病例的临床资料进行回顾性分析。结果:21例曲霉菌感染者皆有基础疾病,两种或两种以上基础疾病者19例(90.5%),气管切开等创伤性治疗16例,使用免疫抑制17例。采取科玛嘉显色培养和沙氏培养结合多次真菌镜检,可缩短诊断时间。伊曲康唑对曲霉感染疗效较好。结论:对创伤性治疗和长期使用免疫抑制剂及多种抗生素住院患者,应警惕曲霉菌感染。一旦诊断成立,应尽早治疗。Objective:To assess the clinical manifestations,diagnosis and treatment of aspergillosis infection.Methods:The data of 21 patients were reviewed,including general status,clinical manifestations,laboratory findings,diagnosis,treatment and prognosis.Results:Among 21 case,16 cases were 50 years old or more than 50 years old,19 cases suffered from two or above two underling diseases(90.5%),the common underling diseases were COPD,chronic liver disease,rheumatic disease.Itraconazole was a effective treatment for ...

关 键 词：曲霉菌 诊断 治疗 

分 类 号：R519.8[医药卫生—内科学]