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頁籤選單縮合
題名 | Surgical Treatment of Pulmonary Fungal Infection=肺黴菌感染的外科治療 |
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作者 | 黃睦舜; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 21:5 1988.09[民77.09] |
頁次 | 頁589-597 |
分類號 | 416.224 |
關鍵詞 | 肺黴菌感染; 外科治療; |
語文 | 英文(English) |
中文摘要 | 從民國68年至75年,共有26例肺部徽菌感染的病人在本院接受外科手術。其中麵菌病19例,囊球菌病5例,念珠菌病1例,白黴菌1例。 麴菌臨床上最常見的症狀是反覆性咳血,開刀前可由X光片"球在洞裡"獲得診斷。最常見伴隨疾病是肺結核和支氣管擴張症。外科手術為主要治療方法,術後併發症4例(22%),術後30天內死亡1例(5%)。 囊球菌病仍以手術治療為主,術前確切診斷不容易,術後需再加上抗徽物治療。5例中都沒有發生術後腦膜炎。 26例病中,除1例死亡外,其餘25例結果良好沒有復發現象。 |
英文摘要 | From 1979 to 1986 there were 26 patients who underwent operation for pulmonary fungal infections at Veterans General Hospital, Taipei. Nineteen of the patient had aspergillosis, five cryptococcosis, one candidiasis and one mucormycosis. Hemoptysis was the most common symptom for pulmonary aspergillosis. The preoperative diagnosis was made on the basis of a typical "ball in hole" picture on the chest roentgenogram. Tuberculosis and bronchiectasis were the most common underlying disease. Surgical resection remained the treatment of choice. There were four postperative complications and one postoperative mortality. Despite the fact that it is difficult to diagnose localized pulmonary cryptococcosis preoperatively, surgical resection and postoperative antifungal therapy were the treatment of choice. No postoperative cryptococcal meningitis was found in these patients. |
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