免疫抑制肺炎PPT演示课件.ppt

浅谈免疫受损宿主的肺部感染;;The war against infectious diseases has been win ---U.S. Surgeon General 1969 ;免疫受损宿主immunocompromised host．ICH;Definition of immunocompromise;Basic immunology;;;不同类型ICH感染存在显著差异;不同类型ICH感染存在显著差异;Solid-organ transplantation;Risks from treatment of hematologic malignancies;不同类型ICH感染存在显著差异—血液病;HIV infection;Etiology of pneumonia in HIV;ICH肺炎特点;ICH 肺炎特点;ICH 肺炎特点;The diagnostic approach;免疫机制受损的认定 ;Need to consider:;Case 1;Case 1---尸检病理;Case 2;Bacterial infection;;ICH与非ICH肺结核比较; 肺外结核 播散性结核 PPD阳性率低 ;Viral infection;Pneumonia and Death during Influenza Infection of Adults and Children with Hematological Malignancy or Organ TX*;PCP;PCP-Patients at Risk;Symptoms of Disease--PCP;;AIDS和非AIDS的PCP比较;Empiric treatment;几个问题;Imaging approach;CT- pulmonary infiltratets;Differential diagnosis of pulmonary infiltrates in ICH;34/M,AML, 结节，实变，磨玻璃，胸水， RSV;23/M, neutropenia following bone marrow transplantation 磨玻璃和实变 Candida albicans ;25/F, neutropenia(760/mm) following bone marrow transplantation air-crescent IA;32/M, non-Hodgkin’s lymphoma, 实变，周围磨玻璃 mucormycosisna;29/M, AIDS, 磨玻璃，囊样变，气胸 PCP;谢谢