CAJ | 학술논문

目的分析11例变态反应性支气管肺曲霉菌病(ABPA)的临床特点，以减少漏诊误诊。方法总结11例ABPA患者临床特点。结果11例ABPA患者误诊为支气管哮喘4例，支气管扩张并感染3例，肺结核2例，慢性嗜酸性粒细胞浸润1例，肺炎1例。比较常见的症状为咳嗽(100.0%)、咳痰(90.9%)、喘息(72.7%)、发热(54.5%)、咳痰栓(9%)、咯血(45.4%)。胸部影像学检查示：斑片状渗出影(100.0%)，中心型支气管扩张(54.5%)。结论 ABPA临床表现无特异性，对可疑患者早期应进行外周血嗜酸性粒细胞计数、血清总IgE、烟曲霉菌抗原皮内试验、烟曲霉菌特异性IgE等检查。
목적분석11례변태반응성지기관폐곡매균병(ABPA)적림상특점，이감소루진오진。방법총결11례ABPA환자림상특점。결과11례ABPA환자오진위지기관효천4례，지기관확장병감염3례，폐결핵2례，만성기산성립세포침윤1례，폐염1례。비교상견적증상위해수(100.0%)、해담(90.9%)、천식(72.7%)、발열(54.5%)、해담전(9%)、각혈(45.4%)。흉부영상학검사시：반편상삼출영(100.0%)，중심형지기관확장(54.5%)。결론 ABPA림상표현무특이성，대가의환자조기응진행외주혈기산성립세포계수、혈청총IgE、연곡매균항원피내시험、연곡매균특이성IgE등검사。
Objective To describe the clinical characteristics of allergic bronchopulmonary aspergillosis(ABPA). Methods The clinical data of 11 ABPA patients were retrospectively analyzed. Results Bronchial asthma, bronchiectasis, tuberculosis and pneumonia were initially misdiagnosed in 11 cases respectively. Common symptoms were cough, expectoration, wheeze, fever, chest tightness, sputum plug and hemoptysis. Most lesions on chest CT were pathy infiltrations, central bronchiectasis and mucoid impaction. Conclusions The clinical symptoms of ABPA are nonspecific. Measurement of peripheral blood eosinophilia, serum IgE level, immediate cutaneous reaction to A. fumigatus are helpful to confirm the diagnosis.