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Clinical analysis of invasive pulmonary aspergillosis in patients with liver failure: report of 24 cases

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Author:
No author available
Journal Title:
Chinese Journal of Clinical Infectious Diseases
Issue:
6
DOI:
10.3760/cma.j.issn.1674-2397.2015.06.010
Key Word:
肝功能衰竭;侵袭性肺曲霉病;预后;危险因素;Liver failure;Invasive pulmonary aspergillosis;Prognosis;Risk factors

Abstract: 肝衰竭是临床常见的严重肝病综合征,患者病死率极高.由于肝细胞的坏死和肝功能衰竭,患者常有严重出血倾向、严重感染、肝肾综合征、难以纠正的水电解质紊乱和肝性脑病等.真菌感染是肝衰竭患者严重的并发症,并且感染后病情常难以控制[1].曲霉是一种广泛存在于自然界的真菌,因患者机体免疫状态和基础疾病的不同,侵入机体后可导致一系列临床表现各异的肺曲霉病.侵袭性肺曲霉病(Invasive pulmonary aspergillosis,IPA)是由曲霉侵入肺组织所引起的深部真菌感染性疾病,以发展成为坏死性、出血性肺炎,形成多发性肺脓肿或肉芽肿,病灶边缘可有小动脉栓塞为特征,病情进展迅速,如不及早干预,病死率极高.本研究分析了肝衰竭合并IPA患者的临床特点,并对可疑的感染相关因素进行分析,希望指导临床诊断和治疗,帮助预后判断.

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