摘要
目的:探讨肺组织胞浆菌病的临床特点及治疗方法。方法:对我院收治的7例进行回顾性分析。结果:本病以中老年男性为主,发病前与接触家禽、鸽类密切相关,约半数病人无特殊临床表现。胸部影像学表现与肺肿瘤相似。病理组织中可见到组织胞浆菌,PSA染色阳性。本病经治疗后,预后良好。结论:肺组织胞浆菌病在我国屡有人群感染,其发病与人体的免疫力有关,应和肺癌鉴别。找到病原菌或病理活检的组织中发现该菌孢子及PAS染色阳性有确诊意义。本病应根据不同类型选择有效的抗真菌治疗或手术治疗。
Objective: To summarize the clinical characteristics and treatment of pulmonary histoplasmosis. Methods:Data of 7 cases of pulmonary histoplasmosis treated in our hospital were retrospectively studied. Results: Most cases were elderly male patients, and had closely contacted with domestics or pigeons before the onset of the disease. More than half of the patients showed no specific clinical manifestation. Findings of radiography resembled those of lung cancer. Histoplasma capsulatum could be found in the tissues by pathologic examination, with positive result in PAS staining. Prognosis of this disease was fairly good. Conclusions: Pulmonary histoplasmosis is not rare in our country. Its incidence relates to people's immunity and should be differentiated from lung cancer. Diagnosis can be confirmed when pathogenic germs are found, spores found in biopsy tissues or PAS staining positive. Effective anti - fungus therapy or operation should be selected according to different subtypes.
出处
《中国临床医学》
2002年第6期706-707,共2页
Chinese Journal of Clinical Medicine
