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侵袭性肺曲霉菌病的CT特点及其诊断和预后价值 被引量:11

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摘要 由于糖皮质激素、广谱抗生素、免疫抑制剂、化疗药物的应用,以及某些导管的长期体内留置等原因,导致免疫缺陷群体急剧增加,致使侵袭性肺曲霉菌病(IPA)的发病率和病死率显著升高.而且文献中所报告的资料因漏诊、误诊,存在发病率和病死率低估的问题.据报道,289例重症监护病房(ICU)尸体解剖结果表明,IPA是漏诊的主要原因.ICU中IPA的归因病死率为18.9%,说明IPA在重症患者中同样具有高发病率、高病死率的特点,抗曲霉菌药物的疗效仍不能令人满意.因此,IPA日益成为特定患者群体的主要危害和死因之一.
出处 《中国危重病急救医学》 CAS CSCD 北大核心 2010年第9期574-576,共3页 Chinese Critical Care Medicine
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  • 1Maris C,Martin B,Creteur J,et al.Comparison of clinical and post-mortem findings in intensive care unit patients.Virchows Arch,2007,450:329-333. 被引量:1
  • 2Vandewoude KH,Blot SI,Benoit D,et al.Invasive aspergillosis in critically ill patients:attributable mortality and excesses in length of ICU stay and ventilator dependence.J Hosp Infect,2004,56:269-276. 被引量:1
  • 3Segal BH.Aspergillosis.N Engl J Med,2009,360:1870-1884. 被引量:1
  • 4Walsh TJ,Anaissie EJ,Denning DW,et al.Treatment of aspergillosis:clinical practice guidelines of the infectious diseases society of america.Clin Infect Dis,2008,46:327-360. 被引量:1
  • 5Horger M,Hebart H,Einsele H,et al.Initial CT manifestations of invasive pulmonary aspergillosis in 45 non-HIV immunocompromised patients:association with patient outcome? Eur J Radiol,2005,55:437-444. 被引量:1
  • 6Segal BH,Walsh TJ.Current approaches to diagnosis and treatment of invasive aspergillosis.Am J Respir Crit Care Med,2006,173:707-717. 被引量:1
  • 7Greene RE,Schlamm HT,Oestmann JW,et al.Imaging findings in acute invasive pulmonary aspergillosis:clinical significance of the halo sign.Clin Infect Dis,2007,44:373-379. 被引量:1
  • 8Althoff Souza C,Müller NL,Marchiori E,et al.Pulmonary invasive aspergi-llosis and candidiasis in immunocompromised patients:a comparative study of the high-resolution CT findings.J Thorac Imaging,2006,21:184-189. 被引量:1
  • 9Park SY,Kim SH,Choi SH,et al.Clinical and radiological features of invasive pulmonary aspergillosis in transplant recipients and neutropenic patients.Transpl Infect Dis,2010,12:309-315. 被引量:1
  • 10Horger M,Einsele H,Schumacher U,et al.Invasive pulmonary aspergillosis:frequency and meaning of the "hypodense sign" on unenhanced CT.Br J Radiol,2005,78:697-703. 被引量:1

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