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摘要: 目的:总结侵袭性喉部真菌感染患者的临床资料,探讨发病规律和诊疗方法。方法:回顾性分析我院2006-09-2010-02期间收集的侵袭性喉真菌病11例,行电子喉镜检查、分泌物涂片及培养和组织活检病理检查。采用氟康唑静脉滴注和两性霉素B溶液氧气雾化治疗,再口服伊曲康唑。治疗过程中监测肝肾功能。结果:所有病例都确诊为侵袭性喉真菌病,1例在治疗第2周时出现肝功能损害,药物护肝后继续抗真菌药物治疗。经治疗后症状全部改善,随访1~6年无一例复发。结论:侵袭性喉真菌病与职业接触、滥用抗生素及免疫力低下相关。喉真菌病主要依靠病理检查确诊,分泌物涂片阳性率较低。静脉滴注氟康唑和两性霉素B溶液氧气雾化2~4周,再口服伊曲康唑4周用药安全,疗效可靠。Abstract: Objective: To summarize the clinical datas of thepatients with invasive laryngeal fungal infections in, discuss pathogenesis and treatment methods.Method: Eleven cases of invasive laryngeal fmycosis who were collected from September 2006 to February 2010 with electronic laryngoscopy, aspirate smear and culture and tissue biopsy for pathological diagnosis, were restrospectively analyzed. Those patients were received iv fluconazole, treatment of Oxygen Atomization of amphotericin B solution and taking itraconazole orally.The hepatic and renal functions of the patients were monitored in the course of treatment.Result: All the cases were diagnosed of invasive laryngeal mycosis. 1 patient showed liver dysfunction in the second week during treatment. And continuing the treatment after using liver protection drugs. All symptoms of the patients were improved and no recurrence happened during the 1-6 years of follow-up.Conclusion: Invasive laryngeal fmycosis was correlated with occupation exposure, abusing of antibiotics and low immunity. Laryngeal mycosis was Diagnosised mainly depended on the pathological examination.The positive rates of the secretion smear was low. The effects of iv fluconazole, Oxygen Atomization of amphotericin B 2~4 weeks, and 4 weeks of taking itraconazole orally were safety and reliable.
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Key words:
- invasive /
- laryngeal fungal /
- occupation /
- therapy
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