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报告20例过敏性支气管肺曲菌病。主要诊断标准是发作性支气管哮喘,外周血嗜酸细胞增高,曲菌抗原皮试呈即发反应,血清中有曲菌沉淀抗体,血清IgE升高,肺部浸润病变及中心型支气管扩张。次要标准有痰直接涂片或培养曲菌生长,痰中曾见棕色的栓子,曲菌迟发反应阳性。作者认为,具备7条主要标准则诊断肯定,如具备6条很可能为本病,如仅有包括肺部浸润在内的3条主要标准则属可疑病例。据此,本文20例中15例为确诊或很可能的病例,5例为可疑病例。前者包括6例女性,9例男性,确诊时平均年龄25.6岁。均有哮喘病史,平均白细胞总数9870/毫米~3,嗜酸性细胞8～29％(平均16.7％),所有病员血清中皆证明有烟曲菌沉淀抗体,IgE平均值高达
Report of 20 cases of allergic bronchopulmonary aspergillosis. The main diagnostic criteria are exacerbation of bronchial asthma, peripheral blood eosinophilia, aspergillosis dermal antigen test, serum aspergillosis antibody, serum IgE increased, pulmonary infiltrates and central bronchiectasis. Secondary standard sputum sputum directly smear or culture growth, had seen in brown sputum emboli, aspergillus late reaction positive. The authors believe that there are seven major criteria for the diagnosis of affirmation, such as the possibility of six with this disease, such as lung invasion, including only the three major criteria are suspicious cases. Accordingly, in this paper, 15 cases of 20 cases were diagnosed or very likely cases, 5 cases were suspicious cases. The former includes 6 women and 9 men, with a mean age of 25.6 years at diagnosis. All had a history of asthma, the average number of white blood cells 9870 / mm ~ 3, eosinophils 8 to 29% (average 16.7%), all patients were proven in the serum of Aspergillus fumigatus precipitated antibodies, IgE average up to