沈阳地区孢子丝菌病48例临床分析  

Clinical analysis of sporotrichosis in Shenyang area

作　　者：高峰[1] 王强[1] 李铁男[1] 

机构地区：[1]沈阳市第七人民医院皮肤科,沈阳110003

出　　处：《中国真菌学杂志》2007年第3期146-147,157,共3页Chinese Journal of Mycology

摘　　要：目的 探讨孢子丝菌病的发病原因、特点、诊断及治疗。方法 对48例孢子丝菌病病例进行调查分析，全部行真菌学检查，部分行病理检查，采用碘化钾、特比萘芬或以碘化钾为基础的联合治疗。结果 48例患者有明确外伤史，蚊虫叮咬病史者占总发病人数66.67%。单纯应用碘化钾或以碘化钾为基础的联合治疗8-12周，治愈率均达100%。结论 外伤及昆虫叮咬、动物抓伤为本病的重要致病诱因，单纯应用碘化钾或特比萘芬均可治愈，但联合用药起效更快，效果更好。Objective To investigate the pathogenic causes, characters, diagnosis and treatment of sporotrichosis. Methods Forty-eight cases of sporotrichosis were included in this study. They were diagnosed as cutaneous sporotrichosis according to clinical manifestations and mycological culture. Histopathological examinations were done in some atypical cases. The patients were treated with combination of antifungal agents. Results Injury or sting history was confirmed in 66.67% of all patients. All of the patients were successfully treated with 10% potassium iodide or oral terbinafine combination for 8 - 12 weeks. Conclusion Injury or sting history could be a reason for the epidemics of sporotrichosis. Treatment with combined antifungal agents is superior than only with potassium iodide.

关 键 词：孢子丝菌病 申克孢子丝菌 诊断 治疗 

分 类 号：R519.6[医药卫生—内科学]