肺真菌病

Summary Background: It has been shown that patients with allergic bronchopulmonary aspergillosis and patients with severe asthma with fungal sensitization can benefit from antifungal therapy.

背景：研究显示，抗真菌治疗可使变应性支气管肺曲霉菌病和真菌致敏性严重哮喘患者临床获益。

Objective To study the CT findings in diagnosis of pulmonary mycosis and to improve its radiological diagnosis.

目的：探讨肺真菌病CT影像表现特征，提高影像诊断水平。

Objective: To analyse clinical and etiologic feature, diagnosis and prognosis of community acquired pulmonary mycosis.

探讨社区获得性肺真菌病的临床和病原学特点、诊断方法及预后。

Pulmonary mycosis with characteristic manifestation can be correctly diagnosed by CT scan.

CT对有特征性表现的肺真菌病可作出诊断。

Objective:To evaluate the CT appearance and analyze CT value and limitation of tumor patients cocurrenting pulmonary mycosis after large dose.chemotherapy.

目的：评价肿瘤病人在大剂量化疗后并发肺真菌病的CT表现并分析其价值和限度。

Results This kind of disease associated with chemotherapy, actinotheraphy, long-term receiving broad spectrum antibiotic or cortical steroid hormone, basic illness uncontrol such as diabetes and COPD. This disease should be earlier detected, timely diagnosed and treated.

结果 老年肺癌患者肺部真菌感染与化疗和放疗，长期应用广谱抗生素、激素，基础病未控制如糖尿病、慢阻肺有关，应早期发现及时诊断、治疗。

Cases displayed simple slice infiltrative focus:③ Six eases with fungal pneumonia: 4 cases were pulmonary aspergillosis, in which 2 cases displayed multiple-slice shadow with cavity formation and 1 ease displayed multiple-tubercle shadow and 1 ease displayed single conglomerate shadow. 2 eases of pulmonary mucormycosis displayed diffuse spot slice and small slice shadow with partial fusion.

真菌性肺炎6例：4例为肺曲霉菌病，2例表现为两肺多发片状影伴空洞形成、1例表现为多发小结节影、1例表现为单发团块状影；2例肺毛霉菌病表现为两肺弥漫性斑片状、小片状影，部分融合。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。