摘要
目的了解近年来慢性肺部疾病继发肺部真菌感染的发病情况。方法对呼吸内科慢性肺部疾病肺部真菌感染患者的临床资料进行分析。结果慢性阻塞性肺疾病是最易继发真菌感染的的呼吸系统基础疾病,占38.7%,抗生素的长期应用是肺部真菌感染的最危险因素,占46.1%。肺病真菌感染的菌株中仍以白色念珠菌多见,占75.3%,但克柔念珠菌较低,占2.6%。抗真菌治疗的总有效率为80%以上。结论对于有长期应用抗生素、激素等高危因素的慢性肺部疾病患者应高度警惕合并真菌感染,应早期采用有效的干预措施。
Objective To analyze the morbidity, risk factors, etiology of patients with chronic pulmonary disease complicated with mycotic infection. Methods The clinical data of 271 patients with chronic pulmonary disease complicated with mycotic infection were retrospectively analyzed. Results Chronic obstructive pulmonary disease was the major underlying diseases of respiratory system with a percent of 38.7%. Long-term use of antibiotics was the most dangerous factor of pulmonary mycotic infection that accounted for 46. 1%. The most common strain among the pulmonary mycotic infection strains was Candida albicans with 75.3%, but Candida krusei took up on- ly 2.6%. The total effective rate of anti-fungus treatment was 80%. Conclusion For the long-term use of antibiotics and other high risk hormone, the patients with chronic pulmonary diseases should be given early and effective treatment in the prevention of mycotic infection.
出处
《临床肺科杂志》
2013年第2期295-297,共3页
Journal of Clinical Pulmonary Medicine
关键词
慢性肺部疾病
真菌感染
临床分析
chronic pulmonary disease
mycotic infection
clinical analysis