文档介绍：肺曲菌病41例临床病理分析
［摘要］目的：探讨肺曲菌病的临床和病理学特点。方法：对41例经病理及临床证实 为肺曲菌病的临床及病理资料进行回顾性分析。结果：肺曲菌病的临床表现无特异性。本组 原发曲菌病10例，继发曲菌病21例，其中，肺脓肿8例，肺结核、支气管囊肿各4例，支 气管扩张症3例，肺癌2例(含1例同时合并肺癌和肺结核)，支气管肺炎1例。X线及CT 主要征象包括斑片状、片状或点片状渗出影。结论：肺曲菌病的临床和影像学表现多种多样, 认识不足容易导致误诊，支气管镜活检有利于临床诊断并进行治疗。
［关键词］肺疾病；曲菌病；病理
［中图分类号］R445 ［文献标识码］B ［文章编号11673-7210 (2008) 06 (a) -060-02
Clinicopathological analysis of 41 pulmonary aspergillosis
LU Fu-dongl, ZHANG Li-li2, ZHANG Chang-huail
( Center for Clinical Laboratory Development of the Chinese Academy of Medical Sciences , Beijing 102206 , China;2. Beijing Chest Hospital, Beijing 101149, China)
［Abstract］ Objective:To study clinical diagnosis and pathologic features of pulmonary aspergillosis ・ Methods: 41 cases verified by pathology and clinical diagnosis, collected for clinical and pa/thological features were retrospectively analyzed. ResuIts： The clinical features of pulmonary aspergillosis had no special manifesta/tions. Primary pulmonary aspergillosis was 10 cases. Secondary pulmonary aspergillosis was 21 cases, among them lung abscess was 8 cases, lung tuberculosis and bronchial cyst was 4 cases respectively, bronchiectasis was 3 cases, lung cancer was 2 cases, bronchopneumonia was 1 case・ X-ray and CT main imaging which include spot sheet or sheet infiltrating sign(31/41). Conclusion:Clinical and imaging manifestations of pulmonary aspergillosis is varied which lead t