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曲菌感染在临床上可表现为4种类型:肺曲菌病伴肺坏死;过敏性支气管肺曲菌病;免疫抑制病人中的播散性曲菌感染和曲菌瘤。播散性曲菌感染罕见,诊断较困难,以往的病例报告均见于免疫功能受抑制的血液系统恶性肿瘤或接受器官移植的病员。本文首次报道5例在机械换气及接受肝、肾衰竭的支持治疗中发生播散性曲菌病。5例年龄为25～60岁。分别因服用过量扑热息痛和硝基安定,车祸引起多处骨折及肠撕裂,肠扭转术后多发性血栓形成和肠梗死,动脉硬化及脑栓塞抗凝治疗中发生心脏填塞,车祸时骨折及脾和肠系膜破裂
Aspergillus infections can be clinically manifested as four types: pulmonary aspergillosis with pulmonary necrosis; allergic bronchopulmonary aspergillosis; immunosuppressed patients with disseminated Aspergillosis and aspergillosis. Aspergillus spp. Infection is uncommon and diagnosis is more difficult. Previous reports of cases were found in patients with hematological malignancies with suppressed immune function or in organ transplants. This paper reports for the first time in 5 cases of disseminated Aspergillosis in mechanical ventilation and supportive treatment of liver and kidney failure. Five cases were 25 to 60 years old. Respectively due to taking excessive paracetamol and nitrerazin, car accident caused by multiple fractures and intestinal tearing, multiple intestinal thrombosis after intestinal volvulus and intestinal infarction, atherosclerosis and cerebral embolism anticoagulant therapy occurred in the heart filling, fractures in the car accident and spleen And mesenteric rupture