结核性支气管扩张合并真菌感染临床分析  

Clinical analysis of tuberculous bronchiectasis complicated with fungal infection

作　　者：国福云 楮海青[2] 

机构地区：[1]陕西省结核病防治院内一科,陕西西安710100 [2]上海市肺科医院呼吸科,上海200433

出　　处：《临床肺科杂志》2013年第10期1846-1847,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的分析结核性支气管扩张合并真菌感染患者的临床特征与漏诊原因,以提高对两病并存的临床表现的认识与及时处理。方法分析近5年来我院因咯血收治入院的232例患者中11例结核性支扩合并真菌感染的资料,进行分析。结果11例中,男性7例,女性4例,年龄13-69岁,平均46.8岁,病程10月-20年,平均3.25年。主要症状为咳嗽、咳痰、咯血11例次,占100%,发热8例次,占72.7%。合并真菌感染的结核性支气管扩张主要特点:结核病史长,年龄偏大,肺部结构性病变显著(病灶广泛、结构损毁),病情较重,多有并存症存在,多有继发真菌感染的诱因可查,确诊有赖于病原学检查。结论结核性支扩合并真菌感染有增多趋向,且易于出现误诊漏诊,了解其临床特点可引起临床医师对其两病并存的认识,尤其是结核科的医师重视。Objective To analyze the clinical features and causes of misdiagnosis of patients with tuberculous bronchiectasis com- plicated with fungal infection. Methods The clinical data of 11 patients with tuberculous bronchiectasis complicated with fungal infection were retrospectively analyzed. Results There were 7 cases of male and 4 cases of female. Their age was from 13 to 69 years old with an average of 46. 8 years old. The course of disease was from 10months to 20 years, with an average of 3.25 years. The main symptoms were cough, sputum, and hemoptysis. The main features of tuberculous bronchiectasis complicated with fungal infection were long history of tu- berculosis, aged patients, significant changes of lung lesions, severe illness, and many complications. Conclusion There is a growing trend of patients with tuberculous bronchiectasis complicated with fungal infection, which is easily misdiagnosed. The clinical features should be paid more attention by doctors of tuberculous department.

关 键 词：结核 支气管扩张 真菌 感染 

分 类 号：R521.2[医药卫生—内科学]