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曲霉菌感染性肺病分为侵入性,腐生性和过敏性三类。近年来,半侵入性曲菌病(慢性坏死性曲菌病)被认为是一种不适于上述分类的类型。研究表明,其发病率呈上升趋势,易并发于支气管扩张或慢性阻塞性肺病(COPD),不及时治疗可能危及生命。为评价COPD并发半侵入性肺曲菌病的放射学及组织学的表现,作者回顾了9例COPD病人,其中7例由尸检、2例由胸腔镜活检确诊为半侵入性曲菌病。病人均为男性,平均年龄68岁(54～89岁),全部进
Aspergillus infectious lung disease is divided into invasive, saprophytic and allergic three categories. In recent years, semi-invasive aspergillosis (chronic necrotizing aspergillosis) is considered a type not suitable for the above classification. Studies have shown that the incidence is on the rise, and is complicated by bronchiectasis or chronic obstructive pulmonary disease (COPD), which may be life-threatening if not treated in time. To evaluate the radiographic and histological findings of COPD complicated by the development of semi-invasive pulmonary aspergillosis, the authors reviewed 9 patients with COPD, of which 7 were autopsy and 2 were diagnosed as semi-invasive aspergillosis by thoracoscopic biopsy. All patients were male, mean age 68 years (54 to 89 years), all into