| 戴广川,陈珊珊,曾谊,等.非结核分枝杆菌性胸膜炎 1例[J].安徽医药,2024,28(7):1360-1362. |
| 非结核分枝杆菌性胸膜炎 1例 |
| Nontuberculous mycobacterial pleurisy: a case report |
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| DOI：10.3969/j.issn.1009-6469.2024.07.019 |
| 中文关键词: 胸膜炎 非结核分枝杆菌 阿奇霉素 胸腔积液 病例报告 |
| 英文关键词: Pleurisy Nontuberculous mycobacteria Azithromycin Pleural effusion Case reports |
| 基金项目:江苏省卫生健康委科研项目( M2021073) |
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| 摘要点击次数: 451 |
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| 中文摘要: |
| 目的观察分析非结核分枝杆菌胸膜炎的临床特征、诊断、治疗，以提高临床医生对该病的认识。方法分析 2022年 4月 26日南京中医药大学附属南京医院确诊的 1例非结核分枝杆菌胸膜炎病人的临床资料。结果该例为中年男性病人，以咳嗽、胸痛、发热为主要症状；胸部 CT示右侧胸腔积液，行胸腔闭式引流，查胸水宏基因检测示非结核分枝杆菌阳性，胞内分枝杆菌序列数 3606；经引流胸水及阿奇霉素、利福平、乙胺丁醇、莫西沙星治疗，预后佳。结论非结核分枝杆菌胸膜炎较为少见，经内科治疗大多预后良好。 |
| 英文摘要: |
| Objective To observe and analyze the clinical features, diagnosis and treatment of nontuberculous mycobacterial pleurisy, and to improve clinicians' understanding of this disease.Methods The clinical data of a patient with nontuberculous mycobacterial pleurisy diagnosed in Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine on April 26, 2022 were analyzed.Re- sults This case was a middle-aged male patient with cough, chest pain and fever as the main symptoms, whose chest CT resultsshowed right pleural effusion. Closed thoracic drainage was performed. Chest fluid metagene test showed positive nontuberculous mycobacteria, and intracellular mycobacterial sequence number was 3606. And the prognosis was good after drainage of pleural effusion,and treatment with azithromycin, rifampicin, ethambutol and moxifloxacin. Conclusion Nontuberculous mycobacterial pleurisy is rare, and most of the patients have a good prognosis after medical treatment. |
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