26例不同免疫宿主肺隐球菌病临床分析

发布时间：2018-06-19 01:06

本文选题：肺隐球菌病 + 免疫正常　；参考：《福建医科大学》2012年硕士论文

【摘要】：目的：分析不同免疫宿主肺隐球菌病的临床表现、治疗及随诊。方法：回顾性分析2004年1月至2010年12月我院确诊为PC患者的临床资料。结果：确诊为肺隐球菌病共26例，其中免疫缺陷9例，免疫正常17例。免疫缺陷组仅3例无症状，而免疫正常组有11例无症状。免疫缺陷组有6例（66.7%）累及双肺，而免疫正常组仅5例（29.4%）累及双肺。两组病例共随诊18例，均未发生隐球菌全身播散。结论：肺隐球菌病起病隐匿，临床及影像学不特异，，诊断主要依赖病原学及病理检查。治疗应根据不同患者的免疫状况采取合理的方法，免疫功能正常的患者预后较好。
[Abstract]:Objective: to analyze the clinical manifestation, treatment and follow-up of pulmonary cryptococcosis of different immune hosts. Methods: the clinical data of PC patients diagnosed in our hospital from January 2004 to December 2010 were analyzed retrospectively. Results: 26 cases of pulmonary cryptococcosis were diagnosed, including 9 cases of immune deficiency and 17 cases of normal immunity. Only 3 cases were asymptomatic in the immune deficiency group and 11 cases were asymptomatic in the normal immune group. In the immune deficiency group, 6 cases (66.7%) involved both lungs, while in the normal immune group, only 5 cases (29.4%) involved both lungs. 18 cases were followed up in both groups, and no systemic dissemination of Cryptococcus occurred. Conclusion: pulmonary Cryptococcus disease is occult, and its clinical and imaging features are not specific. The diagnosis mainly depends on etiology and pathological examination. The patients with normal immune function should take reasonable methods according to the immune status of different patients, and the prognosis of the patients with normal immune function is better.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R519

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