摘要
目的探讨肺曲霉病的临床表现和影像学特点。方法回顾性调查我院2000年1月—2006年4月确诊或拟诊的30例肺曲霉病,并进行分析研究。结果肺曲霉病的症状主要表现为咳嗽及间歇咯血,伴有发热、胸痛等。影像学表现多样,其中曲霉球有特异性X线胸片表现。确诊方法主要靠病理检查,肺曲霉病易误诊为肺结核和肿瘤。结论肺曲霉病的临床表现不典型,缺乏特异性,误诊率高。病理组织活检具有重要的诊断价值。
Objective To investigate the clinical manifestation and imaging features of pulmonary aspergillosis. Methods Thirty patients with documented pulmonary aspergillosis in our hospital from January 2000 to April 2004 were analyzed retrospectively. Results The symptoms of pulmonary aspergillosis were mainly cough and intermittent hemoptysis with concomitant fever, chest pain, etc. Imaging features of pulmonary aspergillosis varied. Final diagnosis was mainly depended on pathological examination. The pulmonary aspergillosis was usually misdiagnosed as pulmonary tuberculosis or cancer. Conclusions The clinical manifestation of pulmonary aspergillosis is neither typical nor specific. Pathological biopsy is very important for confirming diagnosis.
出处
《中国感染与化疗杂志》
CAS
2008年第1期38-40,共3页
Chinese Journal of Infection and Chemotherapy
关键词
肺曲霉病
临床表现
影像学特点
临床误诊
Pulmonary aspergillosis
Clinical manifestation
Imaging feature
Clinical misdiagnosis