重型再生障碍性贫血移植后合并肺部侵袭性真菌感染6例临床分析
目的探讨重型再生障碍性贫血（SAA）患者行异基因造血干细胞移植（allo-HSCT）后发生肺部侵袭性真菌感染的临床特点。方法回顾性分析解放军307医院2012年1月-2015年1月行异基因造血干细胞移植治疗的30例SAA患者,均采用骨髓加外周血干细胞联合移植,移植后随访分析患者肺部侵袭性真菌感染的发生、治疗和转归。结果共6例患者合并肺部侵袭性真菌感染,发生率20%,其中男4例,女2例,年龄6~42岁,平均年龄18.3岁。患者均有肺部特征性影像学改变,通过支气管镜病理或痰真菌培养确诊3例,通过影像学及临床表现临床诊断3例。应用一线抗真菌治疗后4例治愈,死亡2例,总死亡率33.3%。结论重型SAA...
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| Published in | Jie fang jun yi xue za zhi Vol. 42; no. 12; pp. 1097 - 1101 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
Beijing
People's Military Medical Press
2017
518116广东深圳,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院深圳医院血液淋巴瘤科%100071北京,解放军307医院全军造血干细胞研究所 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0577-7402 |
| DOI | 10.11855/j.issn.0577-7402.2017.12.14 |
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| Abstract | 目的探讨重型再生障碍性贫血（SAA）患者行异基因造血干细胞移植（allo-HSCT）后发生肺部侵袭性真菌感染的临床特点。方法回顾性分析解放军307医院2012年1月-2015年1月行异基因造血干细胞移植治疗的30例SAA患者,均采用骨髓加外周血干细胞联合移植,移植后随访分析患者肺部侵袭性真菌感染的发生、治疗和转归。结果共6例患者合并肺部侵袭性真菌感染,发生率20%,其中男4例,女2例,年龄6~42岁,平均年龄18.3岁。患者均有肺部特征性影像学改变,通过支气管镜病理或痰真菌培养确诊3例,通过影像学及临床表现临床诊断3例。应用一线抗真菌治疗后4例治愈,死亡2例,总死亡率33.3%。结论重型SAA患者异基因造血干细胞移植后合并侵袭性真菌感染发生率高,死亡率高,应尽早行经验性抗真菌治疗。 |
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| AbstractList | Objective To study the clinical characteristics of pulmonary invasive fungal infection (IFI) in patients with severe aplastic anemia (SAA) after allogeneic hematopoietic stem cells transplantation (allo-HSCT). Methods The clinical data of 30 SAA patients received allo-HSCT in 307 Hospital of PLA from Jan. 2012 to Jan. 2015 were analyzed retrospectively. All the SAA patients accepted combined bone marrow with peripheral blood stem cells transplantation, and then the clinical features and outcome of pulmonary IFI after transplantation were analyzed. Results Six (20%) of the 30 SAA patients were complicated by IFI after transplantation, including 4 males and 2 females with average age of 18.3(6-42) years. All the 6 patients showed characteristic imaging changes in pulmonary, of which 3 cases were definitely diagnosed by bronchoscopy or sputum fungal culture, and the other 3 cases by imaging and clinical manifestation. Four cases were cured and 2 cases died after first-line antifungal therapy, the total mortality R556.5; 目的 探讨重型再生障碍性贫血(SAA)患者行异基因造血干细胞移植(allo-HSCT)后发生肺部侵袭性真菌感染的临床特点.方法 回顾性分析解放军307医院2012年1月-2015年1月行异基因造血干细胞移植治疗的30例SAA患者,均采用骨髓加外周血干细胞联合移植,移植后随访分析患者肺部侵袭性真菌感染的发生、治疗和转归.结果 共6例患者合并肺部侵袭性真菌感染,发生率20％,其中男4例,女2例,年龄6～42岁,平均年龄18.3岁.患者均有肺部特征性影像学改变,通过支气管镜病理或痰真菌培养确诊3例,通过影像学及临床表现临床诊断3例.应用一线抗真菌治疗后4例治愈,死亡2例,总死亡率33.3％.结论 重型SAA患者异基因造血干细胞移植后合并侵袭性真菌感染发生率高,死亡率高,应尽早行经验性抗真菌治疗. 目的探讨重型再生障碍性贫血（SAA）患者行异基因造血干细胞移植（allo-HSCT）后发生肺部侵袭性真菌感染的临床特点。方法回顾性分析解放军307医院2012年1月-2015年1月行异基因造血干细胞移植治疗的30例SAA患者,均采用骨髓加外周血干细胞联合移植,移植后随访分析患者肺部侵袭性真菌感染的发生、治疗和转归。结果共6例患者合并肺部侵袭性真菌感染,发生率20%,其中男4例,女2例,年龄6~42岁,平均年龄18.3岁。患者均有肺部特征性影像学改变,通过支气管镜病理或痰真菌培养确诊3例,通过影像学及临床表现临床诊断3例。应用一线抗真菌治疗后4例治愈,死亡2例,总死亡率33.3%。结论重型SAA患者异基因造血干细胞移植后合并侵袭性真菌感染发生率高,死亡率高,应尽早行经验性抗真菌治疗。 |
| Abstract_FL | Objective To study the clinical characteristics of pulmonary invasive fungal infection (IFI) in patients with severe aplastic anemia (SAA) after allogeneic hematopoietic stem cells transplantation (allo-HSCT).Methods The clinical data of 30 SAA patients received allo-HSCT in 307 Hospital of PLA from Jan.2012 to Jan.2015 were analyzed retrospectively.All the SAA patients accepted combined bone marrow with peripheral blood stem cells transplantation,and then the clinical features and outcome of pulmonary IFI after transplantation were analyzed.Results Six (20％) of the 30 SAA patients were complicated by IFI after transplantation,including 4 males and 2 females with average age of 18.3(6-42) years.All the 6 patients showed characteristic imaging changes in pulmonary,of which 3 cases were definitely diagnosed by bronchoscopy or sputum fungal culture,and the other 3 cases by imaging and clinical manifestation.Four cases were cured and 2 cases died after first-line antifungal therapy,the total mortality was 33.3％.Conclusion High incidence of complicated IFI in SAA patients after allo-HSCT may lead to the high mortality,it's necessary to give an empiric antifungal therapy as earlier as possible. |
| Author | 郭智;任骅;胡亮钉;徐晨;李欲航;扈江伟;陈丽萍;陈虎 |
| AuthorAffiliation | 国家癌症中心／中国医学科学院北京协和医学院肿瘤医院深圳医院血液淋巴瘤科,广东深圳518116;解放军307医院全军造血干细胞研究所,北京100071 |
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| Author_FL | CHEN Li-ping CHEN Hu XU Chen GUO Zhi LI Yu-hang REN Hua HU Liang-ding HU Jiang-wei |
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| Copyright | 2017] This work is licensed under [CC BY 3.0 Unported - https://creativecommons.org/licenses/by/3.0/ (“the License”). Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the terms of the License. Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
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| Keywords | 侵袭性真菌感染 异基因造血干细胞移植 invasive fungal infection severe aplastic anemia pulmonary 重型再生障碍性贫血 肺部 allogeneic hematopoietic stem cell transplantation |
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| Notes | Objective To study the clinical characteristics of pulmonary invasive fungal infection （IFI） in patients with severe aplastic anemia （SAA） after allogeneic hematopoietic stem cells transplantation （allo-HSCT）. Methods The clinical data of 30 SAA patients received allo-HSCT in 307 Hospital of PLA from Jan. 2012 to Jan. 2015 were analyzed retrospectively. All the SAA patients accepted combined bone marrow with peripheral blood stem cells transplantation, and then the clinical features and outcome of pulmonary IFI after transplantation were analyzed. Results Six （20%） of the 30 SAA patients were complicated by IFI after transplantation, including 4 males and 2 females with average age of 18.3（6-42） years. All the 6 patients showed characteristic imaging changes in pulmonary, of which 3 cases were definitely diagnosed by bronchoscopy or sputum fungal culture, and the other 3 cases by imaging and clinical manifestation. Four cases were cured and 2 cases died after first-line antifungal therapy, the total mortality ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 |
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| Publisher | People's Military Medical Press 518116广东深圳,国家癌症中心/中国医学科学院北京协和医学院肿瘤医院深圳医院血液淋巴瘤科%100071北京,解放军307医院全军造血干细胞研究所 |
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| Snippet | 目的探讨重型再生障碍性贫血（SAA）患者行异基因造血干细胞移植（allo-HSCT）后发生肺部侵袭性真菌感染的临床特点。方法回顾性分析解放军307医院2012年1月-2015年1月行异基... Objective To study the clinical characteristics of pulmonary invasive fungal infection (IFI) in patients with severe aplastic anemia (SAA) after allogeneic... R556.5; 目的 探讨重型再生障碍性贫血(SAA)患者行异基因造血干细胞移植(allo-HSCT)后发生肺部侵袭性真菌感染的临床特点.方法 回顾性分析解放军307医院2012年1月-2015年1月... |
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| SubjectTerms | Anemia Fungal infections Stem cells 侵袭性真菌感染 异基因造血干细胞移植 肺部 重型再生障碍性贫血 |
| Title | 重型再生障碍性贫血移植后合并肺部侵袭性真菌感染6例临床分析 |
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