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支气管内曲霉球一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Tuberculosis and Respiratory Diseases
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1001-0939.2017.04.017
- Key Word:
- No keyword available
Abstract： 曲霉广泛存在于自然界,因宿主免疫状况不同,导致不同类型的疾病状态.肺是曲霉病发生最常见的部位,相对肺实质来说,气道相关曲霉病的报道和研究较少.曲霉相关的气道病变有多种形式,包括气道侵袭性肺曲霉病、变应性支气管肺曲霉病和曲霉球,反映了曲霉在气道内引起的感染、过敏和寄生状态[1-2]."曲霉球或曲霉肿(aspergilloma)"指曲霉丝和细胞外基质组成的真菌球,既往的概念较为笼统[3];新的慢性肺曲霉病(CPA)诊断和治疗指南[4]中提出了"单一曲霉球(single aspergilloma)"的概念,特指一个空洞病变中长期不进展的曲霉球,而广义的"曲霉球"作为一种影像学特征出现在多种CPA类型中,需要结合临床表现区分具体的疾病类型.现报道1例支气管内曲霉球(endo-bronchial aspergilloma,EBA)病例,并对其临床特点、诊断及治疗进行探讨.
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