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侵袭性肺真菌病日益成为临床常见的感染类型以及免疫抑制患者的重要死亡原因。曲霉、隐球菌和念珠菌是导致侵袭性肺真菌病的主要病原体。本文结合我国《中华内科杂志》编委会、中华医学会呼吸病学分会以及美国感染病学会、美国胸科学会等学术团体最新发布的指南和共识讨论侵袭性肺真菌病的分级诊断及其适用范围,分别探讨侵袭性肺曲霉病、隐球菌病和念珠菌病的诊断、治疗原则、药物选择及疗程。
Abstract：Invasive fungal disease is currently a common type of infections in daily clinical practice.It is acknowledged as a major cause of death in patients with immunosuppression.Three leading types of invasive fungal disease are aspergillosis,cryptococcosis and candidiasis.Chinese Respiratory Society and the editorial committee of Chinese Journal of Internal Medicine have released guidelines and consensus on the diagnosis and treatment of invasive fungal diseases.Infectious Diseases Society of America and American Thoracic Society also updated their relevant guidelines and statements recently.Based on these guidelines and statements,this article discussed the definition and grading diagnosis for invasive pulmonary fungal disease.The diagnosis,therapeutic principles,drug selection and course of treatment of invasive pulmonary aspergillosis,cryptococcosis and candidiasis were also described respectively.
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基本信息:
中图分类号:R519
引用信息:
[1]张静,何礼贤.侵袭性肺真菌病诊治指南解读[J].中国药物应用与监测,2011,8(05):261-265.
2011-10-25
2011-10-25