摘要
目的总结开胸术后深部真菌感染的防治经验。方法加强对开胸术后患者深部真菌感染的预防,密切观察术后病情变化,对存在深部真菌感染危险性因素的患者,在有可疑的临床表现出现时,及时并密切追踪检查并早期经验性用药。结果38例开胸患者术后并发深部真菌感染,其中白色假丝酵母菌26例占68.42%,热带假丝酵母菌6例占15.79%,光滑假丝酵母菌2例占5.26%,曲霉菌属2例占5.26%,隐球酵母菌属1例占2.63%,酵母菌属1例占2.63%;33例痊愈,5例死亡,死亡率13.16%。结论加强对开胸术后患者真菌感染的预防、早期诊断和早期经验性用药是防治深部真菌感染并改善患者预后的重要措施。
OBJECTIVE To summarize the experience of prevention and treatment of the deep fungal infection after thoracotomy. METHODS To enhance the prevention of the deep fungal infection after thoracotomy. To watch out for the change of postthoracotomy symptom, when doubtful clinical symptom appeared in the susceptible sufferers and to track the result of culture and adopt early experiential antifungal medication to treat. RESULTS Out of 38 patients 33 were cured, 5 were died （13. 16%）. CONCLUSIONS To enhance the prevention of the deep fungal infection after thoracotomy, the early diagnosis and treatment with experiential antifungal medication are the important measures to improve prognosis in the patients with postthoracotomy infection of deep fungi.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第12期1704-1706,共3页
Chinese Journal of Nosocomiology
关键词
深部真菌
医院感染
开胸术后
抗真菌药物
Deep fungus
Hospital acquired infection
Postthoracotomy
Antifungal drugs
