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| 侵袭性肺曲霉病的临床特征分析 | |
| 引用本文： | 刘丹丹,陈慧,邵长周,何礼贤. 侵袭性肺曲霉病的临床特征分析[J]. 中国临床医学, 2014, 0(5): 540-542 |
| 作者姓名： | 刘丹丹 陈慧 邵长周 何礼贤 |
| 作者单位： | 1. 复旦大学附属中山医院呼吸科，上海 200032; 安徽省第二人民医院呼吸科，安徽合肥 230041 2. 浙江省金华市中心医院呼吸科,浙江金华,321000 3. 复旦大学附属中山医院呼吸科,上海,200032 |
| 基金项目： | 上海市自然科学基金项目(编号13ZR1406600)；浙江省金华市科学技术局社发重点计划项目 |
| 摘 要： | 目的:探讨侵袭性肺曲霉病(invasive pulmonary aspergillosis,IPA)的临床特征。方法:回顾分析83例IPA患者的临床及影像学资料。结果:IPA患者的主要临床表现为发热、咳嗽、咳痰、喘息、呼吸困难、咯血。IPA患者的影像学表现多样,典型表现如晕征和新月征则较少见(主要见于免疫抑制患者)。83例中原发性IPA患者18例,均治愈;继发性IPA患者65例,治愈23例,好转出院25例,患者要求出院12例,病死5例。结论:IPA好发于有基础疾病和免疫抑制的患者,其临床和影像学表现不典型;原发性IPA较继发性IPA预后好。 |
| 关 键 词： | 侵袭性肺曲霉病 影像学 临床特征 |
Clinical Manifestations and Imaging Findings of Patients with Invasive Pulmonary Aspergillosis |
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| LIU Dan-dan,CHEN Hui,SHAO Changzhou,HE Lixian. Clinical Manifestations and Imaging Findings of Patients with Invasive Pulmonary Aspergillosis[J]. Chinese Journal Of Clinical Medicine, 2014, 0(5): 540-542 | |
| Authors: | LIU Dan-dan CHEN Hui SHAO Changzhou HE Lixian |
| Affiliation: | LIU Dan- dan, CHEN Hui, SHAO Changzhou, HE Lixian(1. Department of Respiratory Medicine, Zhongshan Hospital ,Fudan University, Shanghai 200032, Chinal 2. Department of Respiratory Med- icine, Second People＇s Hospital of Anhui Province, He f ei 230041, China 3. Department of Respira- tory Medicine, Jinhua Central Hospital, Jinhua 321000, China) |
| Abstract: | Objective：To investigate the clinical features of invasive pulmonary aspergillosis （IPA）.Methods：The clinical fea-tures and imaging characteristics of 83 patients with IPA were retrospectively and comparatively analyzed.Results：The clinical manifestations of IPA included fever,cough,sputum,wheezing,dyspnea,hemoptysis.Imaging findings in patients with IPA were diverse.Typical manifestations such as Halo sign and crescent sign were rare,which were mainly observed in immuno-suppressed patients.All of the 18 cases of primary IPA were cured.Among the 65 secondary IPA patients,23 cases were cured,25 cases improved and discharged,12 cases discharged without medical advice,and 5 cases died.Conclusions：IPA oc-curred often in patients with underlying diseases and immune suppression,having atypical clinical manifestations and imaging findings.Patients with primary IPA have better prognosis than those with secondary IPA. |
| Keywords: | Invasive pulmonary aspergillosis Imaging findings Clinical features |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |