论文部分内容阅读
目的探讨纤维支气管镜检查在肺曲霉感染诊断中的作用。方法回顾性分析2012年至2014年我院100例曲霉感染患者的临床资料及纤维支气管镜(简称纤支镜)检查结果。结果100例曲霉感染患者中,男65例,女35例,年龄12~85岁,30岁以下患者15例。62例合并基础疾病,包括20例结核,23例肿瘤,6例慢性阻塞性肺疾病。36例患者经纤支镜病理检查确诊,其中4例经纤支镜肺活检确诊,无并发症发生;64例患者纤支镜灌洗液或痰液曲霉培养阳性,属于临床诊断。结论纤支镜病理检查及灌洗液培养是诊断肺曲霉感染的有效手段,若临床情况允许,应尽早进行纤支镜检查明确诊断。
Objective To investigate the role of fiberoptic bronchoscopy in the diagnosis of pulmonary aspergillosis infection. Methods The clinical data of 100 cases of Aspergillus infection in our hospital from 2012 to 2014 were analyzed retrospectively and the results of bronchoscopy (bronchofiberscopy) were retrospectively analyzed. Results Among the 100 cases of Aspergillus infection, there were 65 males and 35 females, aged from 12 to 85 years and 15 under 30 years old. 62 cases with underlying diseases, including 20 cases of tuberculosis, 23 cases of tumor, 6 cases of chronic obstructive pulmonary disease. Thirty-six patients were diagnosed by fiberoptic bronchoscopy, of which 4 were diagnosed by bronchofibroscopy and no complication occurred. 64 patients were positive for bronchofiberscopy or sputum aspergilli, which belonged to clinical diagnosis. Conclusion Fiberoptic bronchoscopy and lavage fluid culture is an effective method for the diagnosis of pulmonary aspergillosis infection. If the clinical situation permits, the diagnosis should be made as soon as possible by fiberoptic bronchoscopy.