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[免疫抑制患者与非免疫抑制患者的肺炎——支气管镜活检技术在病原体检测中的价值]

[Pneumonia in patients with and without immunosuppression--value of bronchoscopic biopsy technics for the detection of pathogens].

作者信息

Schmitz K F, Worth H, Hoffmann K, Müller F, Breuer H W, Krech T

机构信息

Abt. für Kardiologie, Pneumologie und Angiologie der Universität Düsseldorf.

出版信息

Pneumologie. 1990 Feb;44 Suppl 1:469-70.

PMID:2367437
Abstract

Bronchoscopic diagnosis was performed in 91 patients with 100 episodes of fresh pneumonia. In already existing immunosuppression (n = 51, Group A) pathogens were most frequently identified via bronchoalveolar lavage (70%); in patients without immunosuppression (n = 49, Group B) the identification quota in respect of the central bronchial secretion (53%) and bronchoalveolar lavage (47%) were comparable. In Group A the most frequently occurring pathogens were Pneumocysti carinii (n = 18) and Aspergillus fumigatus (n = 7), in Group B Streptococcus pneumoniae (n = 8) and Staphylococcus aureus (n = 7).

摘要

对91例发生100次新发肺炎的患者进行了支气管镜诊断。在已存在免疫抑制的患者中(n = 51,A组),病原体最常通过支气管肺泡灌洗确定(70%);在无免疫抑制的患者中(n = 49,B组),中央支气管分泌物(53%)和支气管肺泡灌洗(47%)的病原体鉴定率相当。A组中最常见的病原体是卡氏肺孢子虫(n = 18)和烟曲霉(n = 7),B组是肺炎链球菌(n = 8)和金黄色葡萄球菌(n = 7)。

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