首页|变态反应性支气管肺曲菌病11例临床分析

变态反应性支气管肺曲菌病11例临床分析

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目的分析11例变态反应性支气管肺曲霉菌病(ABPA)的临床特点，以减少漏诊误诊。方法总结11例ABPA患者临床特点。结果11例ABPA患者误诊为支气管哮喘4例，支气管扩张并感染3例，肺结核2例，慢性嗜酸性粒细胞浸润1例，肺炎1例。比较常见的症状为咳嗽(100.0%)、咳痰(90.9%)、喘息(72.7%)、发热(54.5%)、咳痰栓(9%)、咯血(45.4%)。胸部影像学检查示：斑片状渗出影(100.0%)，中心型支气管扩张(54.5%)。结论 ABPA临床表现无特异性，对可疑患者早期应进行外周血嗜酸性粒细胞计数、血清总IgE、烟曲霉菌抗原皮内试验、烟曲霉菌特异性IgE等检查。
Clinical analysis of 11 cases of allergic bronchopulmonary aspergillosis
Objective To describe the clinical characteristics of allergic bronchopulmonary aspergillosis(ABPA). Methods The clinical data of 11 ABPA patients were retrospectively analyzed. Results Bronchial asthma, bronchiectasis, tuberculosis and pneumonia were initially misdiagnosed in 11 cases respectively. Common symptoms were cough, expectoration, wheeze, fever, chest tightness, sputum plug and hemoptysis. Most lesions on chest CT were pathy infiltrations, central bronchiectasis and mucoid impaction. Conclusions The clinical symptoms of ABPA are nonspecific. Measurement of peripheral blood eosinophilia, serum IgE level, immediate cutaneous reaction to A. fumigatus are helpful to confirm the diagnosis.

Allergic bronchopulmonary aspergillosisBronchiectasisBronchial asthmaAllergy

李军利、常双喜、禹彩霞、卢春玲

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450004 郑州，河南大学附属郑州市第一人民医院呼吸内科

变态反应性支气管肺曲霉菌病 支气管哮喘 支气管扩张 过敏

2013

10.3969/j.issn.1673-5552.2013.15.0020

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子：0.186
ISSN：1673-5552
年,卷(期)：2013.(15)
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