肺结核合并肺曲霉菌病17例临床分析  

Pulmanory aspergillosis with tuberculosis:an analysis of 17 cases

作　　者：薛卉[1] 杨育波[1] 孙莹[1] 张东[1] 

机构地区：[1]天津市海河医院结核科,天津300051

出　　处：《临床肺科杂志》2011年第6期886-887,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨肺结核合并肺曲霉菌病的易患因素、临床特征、治疗方法及预后。方法回顾性分析天津海河医院2007-2010年肺结核合并肺曲霉菌病患者17例的临床资料。结果长期应用糖皮质激素、广谱抗生素及老龄为肺结核病并发肺曲霉菌病的风险因素。肺曲霉菌病与肺结核病的临床表现及X线表现相似。17例肺结核合并肺曲霉菌病患者经治疗后,2例死亡,15例好转。结论临床医师应加强对结核病合并曲霉菌感染的警惕性,关注其易感因素,早期诊断,早期合理治疗是提高肺结核合并肺曲霉菌病治愈率的关键。Objective To investigate the major predisposing factor,clinical features,diagnosis,antifungal therapy and prognosis of pulmonary aspergillosis in patients with pulmanory tuberculosis（TB）.Methods 17 cases of pulmonary aspergillosis with TB patients admitted in the Tianjin haihe hospital from 2007 to 2010 were reviewed.Results prolonged use of steroid,broad spectrum antibiotics and advance in age are risk factors of TB patients complicated with aspergillosis.The clinic and X-ray exhibitions of TB were similar to that of aspergillosis.Among the 17 cases of TB patients with aspergillosis,9 cases patients died after treated,15 cases improved.conclusion It is common that fungal infection occurred in pulmonary TB cases.Concern predisposing factor,early diagnosis,early rational treatment plays a vital role in curing TB combining with lung thread fungus infection.

关 键 词：结核 曲霉菌病 肺 并发症 

分 类 号：R521[医药卫生—内科学] R519[医药卫生—临床医学]