非结核分枝杆菌肺病合并侵袭性肺曲霉菌病的临床分析
摘要
<正>非结核分枝杆菌(nontuberculous mycobacteria,NTM)是除人结核分枝杆菌、牛分枝杆菌及麻风分枝杆菌以外的分枝杆菌的总称,由NTM引起的肺部病变称为NTM肺病。侵袭性肺曲霉菌病(invasive pulmonary aspergillosis,IPA)是NTM肺病合并肺真菌病中最常见的类型~([1]),对肺组织破坏十分显著,早期诊治对患者的预后至关重要。现报道如下。1资料与方法1.1一般资料选择2017年1月至2018年12月浙江大学医学院附属邵逸夫医院诊断为NTM肺病合并IPA的患者4例,其中男性2例、女性2例;年龄35～
引文
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2唐神结.非结核分枝杆菌病诊断与治疗专家共识解读[S].中国医刊,2016,51(3):21-24.
3中华医学会呼吸病学分会感染学组,中华结核和呼吸杂志编辑委员会.肺真菌病诊断和治疗专家共识[S].中华结核和呼吸杂志,2007,30(11):821-834.
4 Takeda K,Imamura Y,Takazono T,et al.The risk factors for developing of chronic pulmonary aspergillosis in nontuberculous mycobacteria patients and clinical characteristics and outcomes in chronic pulmonary aspergillosis patients coinfected with nontuberculous mycobacteria[J].Med Mycol,2016,54(2):120-127.
5张忠顺,肖和平.非结核分枝杆菌肺病与肺结核[J].中国临床医生,2004,32(8):7-9.
6 Kwak N,Lee CH,Lee HJ,et al.Non-tuberculous mycobacterial lung disease:diagnosis based on computed tomography of the chest[J].Eur Radiol,2016,26(12):4449-4456.
7周嘉璇,曾庆思,陈淮,等.不同免疫状态下侵袭性肺曲霉菌病的CT表现[J].中国医学影像技术,2016,32(1):63-66.
8 Stevens DA,Kan VL,Judson MA,et al.Practice guidelines for diseases caused by aspergillus[J].Clin Infect Dis,2000,3(4):696-709.
9 Ishikawa S,Yano S,Kadowaki T.Clinical analysis of non-tuberculous mycobacteriosis cases complicated with pulmonary aspergillosis[J].Kekkaku,2011,86(9):781-785.
10张静,何礼贤.侵袭性肺真菌病诊治指南解读[S].中国药物应用与监测,2011,8(5):261-265.
2唐神结.非结核分枝杆菌病诊断与治疗专家共识解读[S].中国医刊,2016,51(3):21-24.
3中华医学会呼吸病学分会感染学组,中华结核和呼吸杂志编辑委员会.肺真菌病诊断和治疗专家共识[S].中华结核和呼吸杂志,2007,30(11):821-834.
4 Takeda K,Imamura Y,Takazono T,et al.The risk factors for developing of chronic pulmonary aspergillosis in nontuberculous mycobacteria patients and clinical characteristics and outcomes in chronic pulmonary aspergillosis patients coinfected with nontuberculous mycobacteria[J].Med Mycol,2016,54(2):120-127.
5张忠顺,肖和平.非结核分枝杆菌肺病与肺结核[J].中国临床医生,2004,32(8):7-9.
6 Kwak N,Lee CH,Lee HJ,et al.Non-tuberculous mycobacterial lung disease:diagnosis based on computed tomography of the chest[J].Eur Radiol,2016,26(12):4449-4456.
7周嘉璇,曾庆思,陈淮,等.不同免疫状态下侵袭性肺曲霉菌病的CT表现[J].中国医学影像技术,2016,32(1):63-66.
8 Stevens DA,Kan VL,Judson MA,et al.Practice guidelines for diseases caused by aspergillus[J].Clin Infect Dis,2000,3(4):696-709.
9 Ishikawa S,Yano S,Kadowaki T.Clinical analysis of non-tuberculous mycobacteriosis cases complicated with pulmonary aspergillosis[J].Kekkaku,2011,86(9):781-785.
10张静,何礼贤.侵袭性肺真菌病诊治指南解读[S].中国药物应用与监测,2011,8(5):261-265.