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2002-2004年3月诊治重型肝炎合并肺曲霉病9例,占同期肺部真菌感染者(17例)一半以上,经2次或2次以上痰真菌培养及X线胸片证实。1.临床资料:(1)一般资料:男8例,女1例,27-64岁。亚急性重型乙型肝炎2例,慢性重型乙型肝炎7例,其中1例合并丁型肝炎病毒感染。合并急性胰腺炎及糖尿病各1例。并发肝性脑病3例,肝肾综合征4例,自发性腹膜炎4例。肺曲霉感染时间:9至11月份6例,2至3月份2例。(2)症状及体征:8例不同程度发热,其中3例体温37.5-38℃,4例38.1-39℃,1例体温超过39.1℃。9例均有咳嗽,咳痰;其中8例伴咯血,多炎脓痰中带血或咳棕褐色痰,偶有血块;重者咯鲜血,伴难
From 2002 to March 2004, 9 cases of severe hepatitis with pulmonary aspergillosis were diagnosed and treated, accounting for more than half of the patients with pulmonary fungal infection (17 cases) in the same period. After 2 or more times of sputum fungal culture and X-ray examination, they were confirmed. 1. Clinical data: (1) General Information: 8 males and 1 females, 27-64 years old. Subacute severe hepatitis B in 2 cases, chronic severe hepatitis in 7 cases, of which 1 case of hepatitis D virus infection. Acute pancreatitis and diabetes combined in 1 case. 3 cases of hepatic encephalopathy, 4 cases of hepatorenal syndrome, 4 cases of spontaneous peritonitis. Pulmonary Aspergillus Infection Time: 6 cases from September to November, 2 cases from February to March. (2) Symptoms and signs: 8 cases of fever with different degrees, 3 cases of body temperature 37.5-38 ℃, 4 cases of 38.1-39 ℃, 1 case of body temperature over 39.1 ℃. 9 cases were cough, sputum; of which 8 cases with hemoptysis, more inflammation purulent sputum with blood or cough tan sputum, occasional blood clots; severe cases of slightly blood, with difficulty