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目的:探讨淋巴瘤化疗后巨细胞病毒肺炎的诊断及治疗。方法:对6例淋巴瘤化疗后巨细胞病毒肺炎的临床资料进行回顾性分析。结果:CM V-IgM阳性5例,纤支镜下肺活检确诊2例。无创呼吸机辅助通气3例,有创呼吸机通气3例。3例治愈,2例死亡,1例因其他原因出院。结论:CM V-IgM联合胸部CT、纤支镜下肺活检有利于淋巴瘤化疗后巨细胞病毒肺炎的早期诊断,早期无创或有创呼吸机辅助通气可取得较满意的效果。
Objective: To investigate the diagnosis and treatment of cytomegalovirus pneumonia after lymphoma chemotherapy. Methods: The clinical data of 6 patients with cytomegalovirus pneumonia after chemotherapy of lymphoma were analyzed retrospectively. Results: CMV-IgM positive in 5 cases, bronchoscopy lung biopsy in 2 cases. Noninvasive ventilator-assisted ventilation in 3 cases, invasive ventilator ventilation in 3 cases. Three were cured, two died and one was discharged for other reasons. Conclusions: CMV-IgM combined with chest CT and bronchofibroscopy is helpful for the early diagnosis of cytomegalovirus pneumonia after lymphoma chemotherapy. Early non-invasive or invasive ventilator-assisted ventilation can achieve satisfactory results.