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本文报告肺曲菌球20例,全部经病理证实。平均年龄38岁,男:女为4:1。本病以咯血为主要临床症状。并对其X线表现进行了分析,典型X线征象是空洞内球块围以半环形气带。不典型病变随肺部原有病变不同而异。本病容易误诊和漏诊,临床上注意与结核及癌性空洞相鉴别。治疗以肺切除疗效满意。空洞内灌注抗真菌剂有一定疗效,适于肺功能低下者。
This article reports 20 cases of pulmonary aspergillosis, all confirmed by pathology. The average age of 38 years old, male: female 4: 1. The disease with hemoptysis as the main clinical symptoms. And its X-ray performance were analyzed, the typical X-ray signs of hollow ball surrounded by semi-annular gas zone. Atypical lesions with the original lung lesions vary. Misdiagnosis and missed diagnosis of the disease, clinical attention and tuberculosis and cancerous cavity phase identification. Treatment of lung resection with satisfactory results. Cavity perfusion antifungal agents have a certain effect, suitable for those with low lung function.