摘要
肺曲菌球通常继发于肺内空腔中,治疗目的主要是预防威胁生命的大咯血。手术切除被认为是首选治疗方案,但许多患者无法耐受手术。因肺曲菌球通常不侵及肺空腔周围血管,口服或静脉注射抗真菌治疗效果较差。此时可考虑动脉栓塞、局部注入药物、放射治疗等方法。本文将对肺曲菌球(咯血)的各种非手术局部治疗进行概括和总结,为临床决策提供参考。
Pulmonary aspergilloma(PA)is usually secondary to pulmonary cavities.The main purpose of PA treatment is to prevent life-threatening hemoptysis.Many patients cannot tolerate surgical resection,which is considered the preferred treatment.Oral or intravenous antifungal therapy is less effective because PA usually does not invade the blood vessels of the pulmonary cavity.In this case,arterial embolization,local injection with drugs,and radiation therapy can be considered.This article will summarized various non-surgical local treatments for PA(hemoptysis)to refer clinical decision-making.
作者
季东翔
沈斌
施雪霏
Ji Dongxiang;Shen Bin;Shi Xuefei(Pulmonary and Critical Care Medicine,Huzhou Central Hospital,Huzhou 313000,China;Department of Interventional Radiotherapy,Huzhou Central Hospital,Huzhou 313000,China)
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2022年第6期602-608,共7页
Chinese Journal of Tuberculosis and Respiratory Diseases
基金
湖州市自然科学基金(2018YZ05)。
