肺真菌病值得注意的几个问题

Several notable problems on pulmonary fungal disease

肺真菌感染已成为常见疾病,但其临床表现复杂,诊断与治疗困难,以下几点值得注意(1)不同肺真菌病可具有完全不同的临床特点,其诊断标准和治疗方案也应有所区别。(2)念珠菌肺炎的确诊病例有所减少,其原因可能与临床疗效好、活检机会少有关,因此仍需引起临床重视。(3)地方性肺真菌病种类较多、差别较大,容易误诊为肺癌或其他疾病,需提高警惕。

Fungal infection of lung has been a common disease. The complicated clinical manifestations make its diag- nosis and treatment difficult. The following should be paid at- tention to. First, different pulmonary mycosis may have very dif- ferent clinical characteristics, so the diagnostic standard and therapy should be established accordingly. Second, the proven cases of candida pneumonia are decreasing, probably because of the decreasing needs for biopsies. So eandida pneumonia seems still common. Third, different types of endemic pulmonary mycosis have distinguishing characteristics. Some eases could be misdiagnosed as cancers or other diseases, which we should be aware of.