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目的探讨经支气管镜介入诊断肺结核后空洞内继发曲菌球的临床价值。方法123例规则抗结核治疗后再出现咳嗽、咳痰、咯血症状,临床怀疑继发曲菌球感染病例,经支气管镜介入空洞内得到病理确诊。结果123例病例中108例确诊为继发曲菌球感染,其中5例合并非结核分枝杆菌感染,3例合并肺结核复发;3例确诊为肺放线菌病;5例为空洞内血凝块;7例为肺结核复发。结论肺结核后空洞内较易继发曲菌球感染,及时行支气管镜介入检查可以得到准确诊断。
Objective To investigate the clinical value of bronchoscopic interventional diagnosis of secondary aspergillospores in the posterior cavity of pulmonary tuberculosis. Methods A total of 123 cases of regular anti-TB treatment showed symptoms of cough, expectoration and hemoptysis after clinical antituberculosis treatment. The patients with suspected bacterial infection of aspergillosis were clinically suspected and pathologically confirmed by bronchoscopic intervention. Results Among the 123 cases, 108 cases were diagnosed as secondary aspergillosis, of which 5 cases were complicated by non-tuberculous mycobacterium infection and 3 cases were complicated by pulmonary tuberculosis recurrence. Three cases were diagnosed as pulmonary actinomycosis and 5 cases were empty blood coagulation Block; 7 cases of tuberculosis recurrence. Conclusions It is easy to secondary to aspergillosis infection in the cavity of pulmonary tuberculosis, which can be accurately diagnosed by bronchial interventional examination in time.