摘要
目的探讨卡氏肺孢子虫肺炎的临床特征、诊断方法及治疗措施。方法报告3例确诊卡氏孢子虫肺炎病例并结合文献进行分析。结果在免疫力低下患者中,可出现卡氏肺孢子虫肺炎,3例患者临床表现为发热、干咳、气短,迅速出现急性呼吸窘迫综合征,胸部CT表现为两肺弥漫性毛玻璃阴影,支气管肺泡灌洗液检出卡氏肺孢子虫,治疗主要依靠大剂量复方磺胺甲噁唑。结论对免疫力低下患者出现快速进展的低氧血症应警惕卡氏肺孢子虫肺炎,早期诊断、早期应用大剂量复方磺胺甲噁唑的综合治疗是提高生存率的关键。
Objective To explore the clinical manifestations, dignosis,therapy of pneumocystis carinii pneumonia（PCP）. Methods Three cases of PCP were reported and the literatures were also reviewed. Results PCP may occure in hypoimmunity patients. Three reported patients were presented with acute fever with dry cough, shortness of breath, progressive hypoxia and diffuse ground-glass shadows on chest X-ray. Pneumocystis carinii were identified in the bronchoalveolar lavage fluid. High dosage trimethoprim-sulfamethoxazole was used to treat the PCP infection. Conclusion One should be alert to the occurrence of PCP when hypoimmunity patients with rapidly progressive hypoxemia, early diagnosis and high dosage trimethoprim-sulfamethoxazole treatment are the key to improve survival in these patients.
出处
《临床肺科杂志》
2010年第1期33-35,共3页
Journal of Clinical Pulmonary Medicine
关键词
肺炎
卡氏肺孢子虫
复方磺胺甲噁唑
pneumonia
pneumocystis carinii
trimethoprim-sulfamethoxazole
