摘要
报道老年人肺曲菌球病17例,其原发病为肺结核14例,肺囊肿、肺癌、肺脓肿各1例。临床表现反复咯血14例,占82.4%。本组15例延误诊断,误诊率88.2%。13例行肺切除术,1例术后死于呼吸衰竭,12例痊愈出院,随访1~3.5年无复发;4例应用抗霉菌药物,3例症状减轻,1例无变化。因此,对老年人肺部曲菌球病进行手术治疗应持积极态度。
Abstract Seventeen cases of Pulmonary aspergilloma in the aged were reported.The Primary diseases were pulmonary tuberculosis in 14 cases and pulmonary cyst,cancer of lung and pulmonary abscess in one each. In 14 cases,the clinical manifestation was frequent hemoptysis;the occurrence rate was 82.4%.Among these 17 cases,15were misdiagnosed. The misdiagnosis rate was 88.2%. 13 cases were treated with pulmonectomy;12 of them recovered and one died of respiratory failure;there was no recurrence after a follow up of 1-3.5 years.Among the 4 cases treated with antimycotic drugs,3 improved with decreased symptoms,while one had no change.Therefore,it is necessary to treat pulmonary aspergilloma in the aged with surgical resection.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
1994年第6期338-340,共3页
Chinese Journal of Geriatrics