肺放线菌病1例报告及国内19例临床分析并文献复习  

Pulmonary actinomycosis(PA):one cases report and clinical analysis of 19 cases of domestic

作　　者：王金艳[1] 王莹[1] 刘银华[1] 徐玲[1] 

机构地区：[1]皖南医学院附属弋矶山医院呼吸内科,安徽芜湖241000

出　　处：《医学信息（中旬刊）》2011年第3期1178-1179,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的:提高临床医生对肺放线菌病的认识,防止误诊。方法:分析20例肺放线菌病的临床特点,并复习相关文献。结果:19例肺放线菌病均有咳嗽等症状,肺部影像学无特异性改变。青霉素效果较好,保守治疗结合手术治疗可取得良好效果。结论:肺放线菌病缺乏特异性临床表现及体征,易误诊。病理学检查是主要的确诊方法。青霉素是主要治疗药物,外科治疗也占有重要地位。Objective：To enhance the knowledge of pulmonary actinomycosis during clinical practice,not to bemisdiagnosed.Methods：The clinical data of 20 patients with pulmonary actinomycosis were analyzed and related literatureswere reviewed.Results：All of the patients had pro ductive cough,PA has no specific clinical imageology manifestations.The patientswere good responsive to penicillin and surgery.Conclusion：PA has no specific clinical manifestations and sign,it is easily misdiagnosed.Histological examination ismore valuable for establishment of diagnosis1.Penicillin is the most commonly used empirical treatment and surgeryoften takes an importantpossession.

关 键 词：肺放线菌病 诊断 治疗 

分 类 号：R519.1[医药卫生—内科学]