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变应性支气管肺曲菌病1例并文献复习
引用本文:谢志斌,彭清臻,余小明,钟敏华,厉银平,黄文军.变应性支气管肺曲菌病1例并文献复习[J].内科急危重症杂志,2007,13(2):88-89.
作者姓名:谢志斌  彭清臻  余小明  钟敏华  厉银平  黄文军
作者单位:湖北孝感市中心医院,孝感,432100
摘    要:目的:提高对变应性支气管肺曲菌病(ABPA)的认识并引起对该病的重视.方法:对1例ABPA患者临床资料进行分析,并结合文献进行复习.结果:ABPA是一种慢性、免疫介导的,对寄生繁殖的曲菌过敏导致的非感染性、炎症性肺部疾病,常发生在支气管哮喘的患者.结论:目前对该病的诊断应采取多种手段,包括纤支镜检查,痰培养及影像学、免疫学等;长期吸入糖皮质激素与口服伊曲康唑能达到较好治疗效果,且最大限度减少副作用.

关 键 词:变应性支气管肺曲菌病  糖皮质激素  伊曲康唑  变应性  支气管哮喘  肺曲菌病  文献复习  View  Literature  Allergic  减少副作用  治疗效果  伊曲康唑  吸入糖皮质激素  免疫学  影像学  痰培养  检查  纤支镜  多种手段  诊断  发生  炎症性肺部疾病
修稿时间:2006年8月14日

A Case With Allergic Bronchopulmonary Aspergillosis and With Literature View
XIE Zhibing,PENG Qingzhen,YU Xiaoming,et al..A Case With Allergic Bronchopulmonary Aspergillosis and With Literature View[J].Journal of Internal Intensive Medicine,2007,13(2):88-89.
Authors:XIE Zhibing  PENG Qingzhen  YU Xiaoming  
Institution:XIE Zhibing,PENG Qingzhen,YU Xiaoming,et al.Xiaogan Central Hospital,Xiaogan 432100,China
Abstract:Objective:To enhance the awareness of allergic bronchopulmonary aspergillosis(ABPA)and pay more attention to it.Methods:The clinical data of one case with ABPA in our hospital was reported and analyzed.Results:ABPA was a chronic,immune-mediated lung disease,ususally occurrs in patients with bronchoasthma.Conclusions:ABPS should be diagnosed through various measures including bronchofibroscope,sputum culture,imaging,and immunological examinations.Long-term corticosteroid inhalation and Itraconazole oral administration may achieve a better effect,and decrease side effects.
Keywords:Allergic bronchopulmonary aspergillosis Corticosteroids Itraconazole
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