摘要
目的对糖尿病酮症酸中毒合并肺毛霉菌感染病例进行临床分析,探讨该病的诊断程序及治疗措施.方法对1例糖尿病酮症酸中毒合并肺毛霉菌感染患者的临床表现、诊断及治疗进行临床分析.结果糖尿病酮症酸中毒合并肺部感染,经气管镜肺活检临床确诊为肺毛霉菌感染.该患者用两性霉素B脂质体治疗3 d,死于大咯血.结论毛霉菌病是一种罕见的病死率很高的系统性真菌感染,早期诊断和早期进行抗菌治疗非常重要.
Objective To analyze diabetes mellitus ketoacidosis combined with pulmonary mucormycosis and to explore diagnostic algorithm and clinical management for the disease. Method A patient with diabetes mellitus ketoacidosis combined with pulmonary mucormycosis was analyzed on the clinical assessment, diagnosis and treatment. Results A patient with diabetes mellitus ketoacidosis combined with pulmonary infection was diagnosed as pulmonary mucormycosis by transbronchial lung biopsy. Treated with amphotericin B liposomes for three days, he died in fatal hemoptysis. Conclusion Pulmonary mucormycosis is a rare systematic fungal infection with high mortality. It is important to make the diagnosis and begin antifungus treatment as soon as early.
出处
《北华大学学报（自然科学版）》
CAS
2009年第6期526-527,共2页
Journal of Beihua University（Natural Science）
关键词
糖尿病酮症酸中毒
肺毛霉菌
两性霉素B
Diabetes mellitus ketoacidosis
Pulmonary mucormycosis
Amphotericin B
