职业性慢性甲醛中毒性阻塞性肺病继发肺曲霉菌病1例  

A case report of pulmonary aspergillosis secondary to occupational chronic formaldehyde toxic obstructive pulmonary disease

作　　者：董志鹏 范志敏 邵海燕 赵玉香 Dong Zhipeng;Fan Zhimin;Shao Haiyan;Zhao Yuxiang(Department of Occupational Disease,Yantaishan Hospital,Yantai 264000,China;Department of Clinical Laboratory,Yantai Hospital of Traditional Chinese Medicine,Yantai 264000,China)

机构地区：[1]烟台市烟台山医院职业病科,烟台264000 [2]烟台市中医医院检验科,烟台264000

出　　处：《中华劳动卫生职业病杂志》2024年第10期775-778,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：侵袭性肺曲霉菌病是肺曲霉菌病最常见的类型。本文报道1例有阻塞性肺疾病等基础疾病的继发肺曲霉菌病病例,临床表现为喘息、咳嗽、发热及肺部广泛哮鸣音,通过病原靶向检测、呼吸道咳出物病理检查最终确诊,给予抗真菌等综合治疗后患者康复出院,预后良好。Invasive pulmonary aspergillosis is the most common type of pulmonary aspergillosis.This paper reported a patient with pulmonary aspergillosis secondary to obstructive pulmonary disease and other underlying diseases.The clinical manifestations included wheezing,cough,fever and wheezing rale in the lungs.Diagnosis was ultimately confirmed through pathogens targeted next generation sequencing and pathological examination of respiratory coughs.Following comprehensive treatment that included antifungal therapy,the patient was cured and discharged with a good prognosis.

关 键 词：肺疾病 慢性阻塞性 甲醛 中毒 职业性中毒 肺曲霉菌病 继发 

分 类 号：R135.1[医药卫生—劳动卫生] R519[医药卫生—公共卫生与预防医学]