变应性支气管肺曲菌病1例并文献复习

A Case With Allergic Bronchopulmonary Aspergillosis and With Literature View

目的:提高对变应性支气管肺曲菌病(ABPA)的认识并引起对该病的重视。方法:对1例ABPA患者临床资料进行分析,并结合文献进行复习。结果:ABPA是一种慢性、免疫介导的,对寄生繁殖的曲菌过敏导致的非感染性、炎症性肺部疾病,常发生在支气管哮喘的患者。结论:目前对该病的诊断应采取多种手段,包括纤支镜检查,痰培养及影像学、免疫学等;长期吸入糖皮质激素与口服伊曲康唑能达到较好治疗效果,且最大限度减少副作用。

Objective： To enhance the awareness of allergic bronchopulmonary aspergillosis （ABPA） and pay more attention to it. Methods：The clinical data of one case with ABPA in our hospital was reported and analyzed. Results：ABPA was a chronic, immune-mediated lung disease, ususally occurrs in patients with bronchoasthma. Conclusions ： ABPS should be diagnosed through various measures including bronchofibroscope, sputum culture, imaging, and immunological examinations. Long-term corticosteroid inhalation and Itraconazole oral administration may achieve a better effect, and decrease side effects.