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肺球孢子菌病的快速诊断常很困难。近来用痰液、气管抽吸液、支气管冲洗和刷洗物按细胞学方法或氢氧化钾(KOH)处理法,确定球孢子菌小球体的特征,可迅速诊断本病。本文利用呼吸道分泌物比较了细胞学(巴氏染色)和KOH处理两种方法诊断肺球孢子菌病的效果。结果:在5年中,从47例患者呼吸道分泌物中培养出球孢子菌。其呼吸道分泌物经细胞学和10%KOH溶液处理的标本26例(1组),仅用KOH方法检查者20例(2组),另1例未行任何检查。在1组中,男15例、女11例,年龄11~73岁(中
Rapid diagnosis of pulmonary coccidioidomycosis is often difficult. Recently sputum, tracheal aspirate fluid, bronchial wash and scrubbing by cytological methods or potassium hydroxide (KOH) treatment method to determine the characteristics of coccidioidospheres can quickly diagnose the disease. In this paper, respiratory secretions were compared cytology (pasteurization) and KOH treatment of two methods of diagnosis of pulmonary coccidioidomycosis effect. Results: Coccidioidomycosis was cultured from respiratory secretions of 47 patients over a 5-year period. Twenty-six (1) samples of respiratory secretions were treated by cytology and 10% KOH solution. Twenty patients (two patients) were examined by KOH alone. The other patients did not undergo any examination. In group 1, there were 15 males and 11 females, aged from 11 to 73 years (middle