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本院经手术和病理检查证实为肺曲菌病有3例,现报告如下: 例1,女,28岁。反复咯血13年,X线胸片曾提示两上肺结核伴左侧空洞形成,经抗结核药及人工气腹治疗,10年后症状消失。2年来又出现反复咯血,每次量100～200ml,无发热及脓痰。抗结核及止血治疗无效。于1984年2月5日入院。X线胸片、两肺上部散在斑点状钙质阴影,左肺第二肋间外带有一约1×1.5cm结节状阴影,其中间有小点钙质,周围有不规则环形影。左胸体层(立位、卧位)摄片提示该结节随体位改变而移动。痰涂片找到霉菌菌丝及孢子体;痰培养有曲菌生长。血沉12mm/h。纤维支气管镜示:左上叶支气管开口处可见散在小片状
The hospital confirmed by surgery and pathology as pulmonary aspergillosis in 3 cases, are as follows: Example 1, female, 28 years old. Repeated hemoptysis for 13 years, X-ray has prompted two pulmonary tuberculosis with the formation of left cavities, the anti-TB drugs and artificial pneumoperitoneum treatment, 10 years after the symptoms disappear. 2 years and there have been repeated hemoptysis, each 100 ~ 200ml, no fever and purulent sputum. Anti-TB and hemostatic treatment is invalid. On February 5, 1984 admission. X-ray, the upper part of two lungs scattered speckled calcium shadows, the left lung outside the second intercostal with about 1 × 1.5cm nodular shadows, the middle of a small amount of calcium, surrounded by irregular ring shadow. Left chest layer (standing position, lying position) radiography prompts the nodules with the position changes. Sputum smear found mold mycelium and sporophyte; sputum culture with Aspergillus growth. ESR 12mm / h. Fiberoptic bronchoscopy shows: the left upper lobe bronchial opening scattered scattered in small pieces