原发性侵袭性肺曲霉菌病病例报告并文献复习  

Primary invasive pulmonary aspergillosis case analysis and literature review

作　　者：田孟娜 李国强[2] 燕朋波[2] 于鑫[2] 李国锋[2] 刘慧敏[2] 宋翔[2] 

机构地区：[1]锦州医科大学研究生学院,辽宁锦州121000 [2]武警后勤学院附属医院呼吸与重症医学科,天津300162

出　　处：《武警后勤学院学报（医学版）》2016年第12期1016-1018,1022,共4页Journal of Logistics University of PAP（Medical Sciences）

基　　金：天津市自然科学基金一般项目(16JCYBJC27500)

摘　　要：【目的】提高临床医生对原发性侵袭性肺曲霉菌病的认识,为临床早期诊断及治疗提供帮助。【方法】对1例经CT扫描、纤维支气管镜检查及病理结果等确诊的原发性侵袭性肺曲霉菌病的临床资料进行回顾性分析。【结果】本病例因间断咳嗽、咳痰7 d,加重伴发热3 d入院,后出现呼吸衰竭,根据CT扫描、纤维支气管镜检查及病理结果等诊断为原发性侵袭性肺曲霉菌病,给予机械通气、卡泊芬净等治疗,患者最终自动出院。【结论】原发性侵袭性肺曲霉菌病发病率低,临床误诊率高,但病情进展迅速,临床医生应提高警惕。【Objective】To improve the clinical doctors＇ knowledge of primary invasive pulmonary aspergillosis, and then provide help for clinical early diagnosis and treatment.【Methods】Retrospectively analyzed one case diagnosed as primary invasive pulmonary aspergillosis based on CT scans, fiber bronchoscope examination and pathological results.【Results】The patient was hospitalized for cough for 7 days, with aggravation of fever for 3 days,and then was diagnosed as primary invasive pulmonary aspergillosis based on CT scans, fiber bronchoscope examination and pathological results. Given mechanical ventilation, caspofungin treatment and so on,but the patient eventually discharged automatically.【Conclusions】Primary invasive pulmonary aspergillosis is low incidence and clinical misdiagnosis rate is high. The progress is rapid, so clinicians should be vigilant.

关 键 词：肺曲霉菌病 原发性 侵袭性 

分 类 号：R519[医药卫生—内科学]