论文部分内容阅读
卡氏肺囊虫性肺炎近年已成为获得性免疫缺陷综合征(AIDS)病人呼吸困难的主要原因。肺囊虫性肺炎的病原体隐藏在肺泡巨噬细胞的粘附聚集物内,不易释放到痰液中,往往需用各种有不同损伤程度的诊断手段,如开胸肺活检、经纤支镜活检、支气管刷检、支气管肺泡冲洗或经胸部皮肤针刺活检,始获诊断。由于对卡氏肺囊虫凭经验治疗的危险性,故需对肺囊虫性肺炎迅速作出临床确诊。在1982年8月以前,开胸肺活检是南加州大学医学中心诊断肺囊虫性肺炎的首选方法,目前已几乎全部被经支气管活检、刷检和冲洗等方法所代替。对于AIDS 病人的肺囊虫性肺炎,一般我们已经能够通过
Pneumocystis carinii pneumonia has become a major cause of dyspnea in Acquired Immune Deficiency Syndrome (AIDS) patients in recent years. Pneumocystis pneumonia pathogens are hidden in the alveolar macrophage adhesion aggregates, difficult to release to the sputum, often need to use a variety of different degrees of damage diagnostic tools, such as open lung biopsy, bronchoscopy Biopsy, bronchial brushing, bronchoalveolar lavage, or needle biopsy via the thoracic skin begin with a diagnosis. Due to the risk of empiric treatment of Pneumocystis carinii, clinical diagnosis of Pneumocystis pneumonia is required. Before August 1982, open lung thoracic biopsy was the first choice for the diagnosis of Pneumocystis pneumonia at the University of Southern California Medical Center. Almost all of them have now been replaced by bronchial biopsies, brush tests and flushing. Pneumococcal pneumonia in AIDS patients generally, we have been able to pass