侵袭性肺曲菌病15例临床分析(3)
总之,对一些反复咳嗽咳痰、咯血、发热、呼吸困难患者,有基础疾病史,经过强有力抗感染疗效欠佳,肺部CT有楔形实变、小结节影尤其有晕轮征、空气新月征,血清GM试验或和G试验阳性,不宜长期使用抗生素,更不宜频繁更换抗生素,需高度怀疑IPA,其病情进展迅速,宜早期联合抗真菌治疗。参考文献
[1] De Pauw B,Walsh T J,Donnelly J P,et al.Revised definitions of invasive fungal disease from the European Organization for Research and Treatment of Cancer/Invasive Fungal Infections Cooperalive Group and the National Institute of Allergy and Infectious Diseases Mycoses Study Group(EORTC/MSG) Consensus Group[J].Clin Infect Dis ......
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