侵袭性肺曲霉病的临床特征分析
Chinese Journal of Clinical Medicine(2014)
Abstract
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。
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Key words
Invasive pulmonary aspergillosis,Imaging findings,Clinical features
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