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  • Công bố khoa học và công nghệ Việt Nam

76.29.53

Y học lâm sàng

Phan Thu Phương, Trần Duy Hiến, Trần Mạnh Hải(1)

Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị của bệnh nhân nấm phổi

Clinical, paracunical features and result of treatment in fungallung patients

Y học Việt Nam

2015

1

101-106

1859-1868

Objectives: 1. Describe the dinical and Paradinical features of fungal lung patients; 2. Comments the results of treatment in of fungal lung patients. Subjects: patients are diagnosed and/or treated at Respiratory Center . Bach Mai Hospital from January 2009 to December 2013. Research Methods: Retrospective descriptive study. Results: The study perfomed 93 patients included 55 men, 38 women; Age average 49.4 +/- 13.4. Clinical symptoms: productive cough 51.1 percent; hemoptysis 47,8 percent; chest pain 46,7 percent; diminished vesicular breath sound 39,1 percent; moist rales 29.4 percent; cracker rales 12 percent. X-ray shows pulmonary fungal lesions of 16.1 percent; Chest CT-scanner shows damage caused by fungi 55.6 percent. Histopathology of CT-guided transthoracic needle biopsypositive for fungus 75 percent; Histopathology of bronchoscopy positive for fungus 66,7 percent. Medical treatment is 48.4 percent; treated with anti-fungal antibiotic 20.4 percent; Surgery 25.8 percent. Treatment and relief of symptoms from 55.9 percent; heavy and go out, 10.8 percent.Complication fatal anemia 75.6 percent; Kali down 35.6 percent. Conduslon: The correct diagnosis and the way of suitable treatment to reduce symptoms and improved healthy markedly. Complication when treating is higher requires monitoring and timely processing.

TTKHCNQG, CVv 46