江汉大学学报(自然科学版) ›› 2025, Vol. 53 ›› Issue (1): 35-43.doi: 10.16389/j.cnki.cn42-1737/n.2025.01.004

• 医学 • 上一篇    下一篇

侵袭性肺曲霉病 1 例并文献复习

余 京1 ,朱 虹*2a,胡红玲2b   

  1. 1. 江汉大学 医学部,湖北 武汉 430056;2. 武汉市中心医院 a. 全科医学科,b. 呼吸与危重症医学科, 湖北 武汉 430014
  • 出版日期:2025-03-27 发布日期:2025-03-27
  • 作者简介:余 京(1997— ),男,住院医师,硕士生,研究方向:全科医学。

Invasive Pulmonary Aspergillosis:A Case Report and Literature Review

YU Jing ,ZHU Hong ,HU Hongling   

  1. 1. School of Medicine,Jianghan University,Wuhan 430056,Hubei,China;2. a. Department of General Medicine,b. Department of Respiratory and Critical Care Medicine,The Central Hospital of Wuhan, Wuhan 430014,Hubei,China
  • Online:2025-03-27 Published:2025-03-27

摘要: 目 的 探讨侵袭性肺曲霉病的早期诊断与治疗。方 法 对 1 例侵袭性肺曲霉病的临 床资料进行回顾性研究,并复习文献。结 果 本例患者经过严格的抗真菌治疗之后,病情有所好 转,无其他并发症及死亡发生。结 论 在临床上,要详细询问病史,通过影像学检查,尽快完善血 清、肺泡灌洗液 GM 试验和血清 G 试验等,做到早诊断、早治疗,改善 IPA 患者的预后,降低病死率。

关键词: 侵袭性肺曲霉病, 粒缺, (1,3)-β-D-葡聚糖试验, GM 试验

Abstract: Objective To explore the early diagnosis and treatment of invasive pulmonary aspergillosis.MethodsThe clinical data of 1 case with invasive pulmonary aspergillosis were retrospectively studied and the literature was reviewed.ResultsAfter strict antifungal therapy,the patient's condition improved and no other complications or death occurred.ConclusionIn clinical practice,it is necessary to inquire about the medical history in detail and improve the serum,alveolar lavage fluid GM test,and serum G test as soon as possible through imaging examination, to achieve early diagnosis and treatment, improve the prognosis of IPA patients,and reduce the mortality.

Key words: nvasive pulmonary aspergillosis, agranulocytosis, (1,3)-β-D-glucan tests, galactomannan test

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