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卡氏肺孢子虫肺炎(PCP)在过去(艾滋病出现前)是通过开胸肺活检或经皮肺活检来诊断的,以后又出现光导纤维支气管镜加支气管肺泡灌洗和经支气管镜活检来诊断PCP,86年Bigby 等研究表明通过吸入喷雾高渗盐水诱出痰诊断PCP 灵敏度可达60～70%,但较难达到。作者依据San Erancisco方案,提高了诱痰诊断PCP 的灵敏度,现将结果报告如下:受试者为51名患艾滋病且疑有PCP 的患者。入选条件是:胸检有PCP 弥散性改变,胸片见有局部变化疑有细菌性肺炎并经广谱抗生素治疗无效者;
Pneumocystis carinii pneumonia (PCP) was diagnosed in the past (prior to the onset of AIDS) by open lung biopsy or percutaneous lung biopsy, followed by fiberoptic bronchoscopy plus bronchoalveolar lavage and bronchoscopic biopsy PCP, 86 years of Bigby other studies have shown that by inhalation spray hypertonic saline sputum diagnosis of PCP up to 60 ~ 70% sensitivity, but more difficult to achieve. Based on the San Erancisco protocol, the authors improved the sensitivity of sputum aspiration for the diagnosis of PCP. The results are reported as follows: The subjects were 51 patients with AIDS and suspected PCP. Selected conditions are: chest examination with diffuse PCP changes, chest X-ray see there are some suspected changes in bacterial pneumonia and broad-spectrum antibiotics ineffective treatment;